DOCK PHILLIP ELLIS

ENCINO, CA
NPI1649708355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-05-24
Last Update Date2022-07-21
Business Address
Mrs. DOCK PHILLIP ELLIS
16500 VENTURA BLVD
ENCINO, CA 91436-2011
Phone number: 818-788-1003
Mailing Address
Mrs. DOCK PHILLIP ELLIS
28175 ALTON WAY
CASTAIC, CA 91384-3801
Phone number: 310-740-1353