KEENAN ELLIS

DAVIS, CA
NPI1518693761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  Y4620530)
Additional Taxonomies103K00000X Behavior Analyst
(Licence: CA  Y4620530)
Enumeration Date2022-07-29
Last Update Date2022-09-26
Business Address
KEENAN ELLIS
1947 GALILEO CT STE 101
DAVIS, CA 95618-4882
Phone number: 153-022-0145
Mailing Address
KEENAN ELLIS
2707 BRANDYWINE PL
DAVIS, CA 95616-2904
Phone number: 802-999-1442