Thomas Ellis

NPI #1942797436 in Springfield, Massachusetts

Provider Information

NPI Number: 1942797436
Entity Type: Individual
Name: Thomas Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 19, 2018
Last Updated: Mar 6, 2020

Practice Location

Address: 90 CARANDO DR
City: Springfield
State: Massachusetts
ZIP Code: 01104-4205
Phone: (413) 865-6919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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