Ellis, James T

Ellis, James T is an individual health care provider with primary practice located at 461 River Rd , Andover MA 01810-4213. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ellis, James T can be contacted via phone (978) 654-4300.

Contact Information

Primary practice address
461 River Rd Andover MA 01810-4213
Phone: (978) 654-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-05-2212 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7985 Massachusetts

Profile Details

NPI number 1538468392
LBN Legal business name Ellis, James T
Credentials PH.D., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2011
Last updated Mar 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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