JONATHAN DAVID ELLIS

BOWLING GREEN, KY
NPI1194506576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   RBT-23-292814)
Enumeration Date2023-10-11
Last Update Date2023-10-11
Business Address
JONATHAN DAVID ELLIS BS, RBT
2427 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3980
Phone number: 270-936-7472
Mailing Address
JONATHAN DAVID ELLIS BS, RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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