Ellisor, Kiryssa
Ellisor, Kiryssa is an individual health care provider with primary practice located at 6910 S Highland Dr , Cottonwood Heights UT 84121-3060. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Ellisor, Kiryssa can be contacted via phone (704) 631-3857.Contact Information
Primary practice address
6910 S Highland Dr
Cottonwood Heights UT 84121-3060
Phone: (704) 631-3857
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1245874866 |
|---|---|
| LBN Legal business name | Ellisor, Kiryssa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2019 |
| Last updated | Nov 6th, 2019 - about 7 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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