CODY ELLIS

MODESTO, CA
NPI1154038826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-11-02
Last Update Date2022-11-02
Business Address
CODY ELLIS
1115 14TH ST
MODESTO, CA 95354-1003
Phone number: 209-572-2589
Mailing Address
CODY ELLIS
PO BOX 5157
MODESTO, CA 95352-5157
Phone number:
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