Active NPIIndividual providerSole proprietor

Bethany A Ellis, BS

Developmental Therapist in Leominster, Massachusetts

NPI Number1396925848
Practice location
100 Erdman Way, Leominster, MA 01453-1804
Fax
—
Last updated
November 13, 2007

Bethany Anne Ellis is a Developmental Therapist based in Leominster, MA. Bethany Anne Ellis practices in Leominster, MA and has the professional credentials of BS. The NPI Number for Bethany Anne Ellis is 1396925848 and holds a License No. 392110 (MA). The current practice location address for Bethany Anne Ellis is 100 Erdman Way, Leominster, MA 01453-1804 and can be reached out via phone at 978-840-9354.

Provider Profile Details

NPI Number
1396925848
Provider Name
Bethany Anne Ellis
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
100 Erdman Way, Leominster, MA 01453-1804
Phone Number
978-840-9354
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 13, 2007
Last Update Date
November 13, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Erdman Way
Leominster, MA 01453-1804
Zip
01453-1804
Phone Number
978-840-9354
Leominster, MA 01453Get directions →

Provider Business Mailing Address Details

Address
44 Cambridge St
Apt #4
Ayer, MA 01432-1361
City
Ayer
State
MA
Zip
01432-1361
Phone Number
978-772-1274

License Information

License Number
392110
License State
MA
Taxonomy
Developmental Therapist · 222Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Developmental Therapists near Leominster, MA

View all Developmental Therapists in Leominster →

Frequently Asked Questions

What is the NPI number of Bethany A Ellis, BS?

The NPI number of Bethany A Ellis, BS is 1396925848. It was assigned on November 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Bethany A Ellis, BS?

Bethany A Ellis, BS is registered under the primary taxonomy Developmental Therapist (code 222Q00000X), licensed in MA under license number 392110.

Where does Bethany A Ellis, BS practice?

The practice location is 100 Erdman Way, Leominster, MA 01453-1804. The office can be reached at 978-840-9354 (phone).

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 1396925848 directly on the NPPES registry website.

Browse related providers