Barbara Nicole Ellis

NPI #1861268054 in Baxley, Georgia

Provider Information

NPI Number: 1861268054
Entity Type: Individual
Name: Barbara Nicole Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 29, 2023
Last Updated: Nov 29, 2023

Practice Location

Address: 119 BELL DR
City: Baxley
State: Georgia
ZIP Code: 31513-2212
Phone: (912) 278-9526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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