Camillia Ellis
Camillia Ellis is an Other Technician in San Bruno, California. Works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
901 Sneath Ln Ste 105San Bruno, CA 94066-2415
Phone: (650) 515-9882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 — (916) 729-3098
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1245717644 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 27, 2018 |
| Last updated in NPPES | February 6, 2020 |
| Certification date | February 6, 2020 |
| Mailing address | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 |
Other providers in San Bruno
-
Lice Clinics of America - San Francisco
1001 Sneath Ln Ste 107, San Bruno, CA 94066-2349 · (650) 746-8788