Mrs. Ellyn M Ellis, MS, BCBA
Behavior Analyst in Southborough, Massachusetts
1184926545- Practice location
- 33 Turnpike RD, Southborough, MA 01772-2108
- Phone
- 508-481-1015
- Fax
- 508-485-3421
- Last updated
- November 17, 2010
Ellyn M Ellis is a Behavior Analyst based in Southborough, MA. Ellyn M Ellis practices in Southborough, MA and has the professional credentials of MS, BCBA. The NPI Number for Ellyn M Ellis is 1184926545 and holds a License No. 1-02-0957 (MA). The current practice location address for Ellyn M Ellis is 33 Turnpike RD, Southborough, MA 01772-2108 and can be reached out via phone at 508-481-1015 and via fax at 508-485-3421.
Provider Profile Details
- NPI Number
- 1184926545
- Provider Name
- Ellyn M Ellis
- Credential
- MS, BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 33 Turnpike RD, Southborough, MA 01772-2108
- Phone Number
- 508-481-1015
- Fax Number
- 508-485-3421
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 17, 2010
- Last Update Date
- November 17, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Turnpike RD
Southborough, MA 01772-2108 - City
- Southborough
- State
- Massachusetts
- Zip
- 01772-2108
- Phone Number
- 508-481-1015
- Fax Number
- 508-485-3421
Provider Business Mailing Address Details
- Address
- 33 Turnpike RD
Southborough, MA 01772-2108 - City
- Southborough
- State
- MA
- Zip
- 01772-2108
- Phone Number
- 508-481-1015
- Fax Number
- 508-485-3421
License Information
- License Number
- 1-02-0957
- License State
- MA
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Southborough, MA
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Frequently Asked Questions
What is the NPI number of Mrs. Ellyn M Ellis, MS, BCBA?
The NPI number of Mrs. Ellyn M Ellis, MS, BCBA is 1184926545. It was assigned on November 17, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Ellyn M Ellis, MS, BCBA?
Mrs. Ellyn M Ellis, MS, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1-02-0957.
Where does Mrs. Ellyn M Ellis, MS, BCBA practice?
The practice location is 33 Turnpike RD, Southborough, MA 01772-2108. The office can be reached at 508-481-1015 (phone) or 508-485-3421 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184926545 directly on the NPPES registry website.