Edward Ellis
Edward Ellis is a Behavior Technician in Garden Grove, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
12395 Lewis StGarden Grove, CA 92840-6600
Phone: (760) 634-1125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1609762426 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2025 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | June 17, 2025 |
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