Evan Ellsworth
Evan Ellsworth is a Behavior Technician in Okemos, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2400 Science PkwyOkemos, MI 48864-2560
Phone: (517) 374-8066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1760002349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 23, 2020 |
| Last updated in NPPES | April 23, 2020 |
| Certification date | April 23, 2020 |
| Mailing address | 2400 Science Pkwy, Okemos, MI 48864-2560 |
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