Ellis, Kimberly

Ellis, Kimberly is an sole proprietor health care provider with primary practice located at 850 13Th St , Newport News VA 23607-6420. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Ellis, Kimberly can be contacted via phone (754) 264-0838.

Contact Information

Primary practice address
850 13Th St Newport News VA 23607-6420
Phone: (754) 264-0838
Fax: (754) 264-0838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1245746908
LBN Legal business name Ellis, Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2017
Last updated Dec 18th, 2017 - about 9 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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