MICHELLE LYNAE ELLIS

PONTE VEDRA BEACH, FL
NPI1710594049
Former NameMICHELLE LYNAE PERKINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-20-133340)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2020-09-30
Last Update Date2022-05-20
Business Address
MICHELLE LYNAE ELLIS BA, RBT
130 CORRIDOR RD UNIT 3929
PONTE VEDRA BEACH, FL 32004-7850
Phone number: 254-383-5991
Mailing Address
MICHELLE LYNAE ELLIS BA, RBT
130 CORRIDOR RD UNIT 3929
PONTE VEDRA, FL 32004-7850
Phone number: