Samantha Jo Ellis
Samantha Jo Ellis is a Behavior Technician in Orange, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1820 W Orangewood Ave Ste 110Orange, CA 92868-5056
Phone: (714) 696-2862
Fax: (714) 242-9308
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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 | 1457068090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 2, 2022 |
| Last updated in NPPES | November 2, 2022 |
| Certification date | November 2, 2022 |
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