Ellis, Thomas

Ellis, Thomas is an individual health care provider with primary practice located at 90 Carando Dr , Springfield MA 01104-4205. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ellis, Thomas can be contacted via phone (413) 865-6919.

Contact Information

Primary practice address
90 Carando Dr Springfield MA 01104-4205
Phone: (413) 865-6919
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1942797436
LBN Legal business name Ellis, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2018
Last updated Mar 6th, 2020 - about 5 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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