Latisha Ellison
Latisha Ellison is a Behavior Technician in Temecula, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
27349 Jefferson Ave Ste 204Temecula, CA 92590-5612
Phone: (951) 466-3032
Fax: (855) 568-2494
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1265184469 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2022 |
| Last updated in NPPES | January 21, 2022 |
| Certification date | January 21, 2022 |
| Mailing address | 18726 S Western Ave, Gardena, CA 90248-3813 |
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