JAYLEN ELLISON

DAVENPORT, FL
NPI1811850662
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  BACB1419921)
Enumeration Date2025-12-08
Last Update Date2025-12-08
Business Address
JAYLEN ELLISON
1459 BERRY LN
DAVENPORT, FL 33837-8104
Phone number: 978-798-8079
Mailing Address
JAYLEN ELLISON
1459 BERRY LN
DAVENPORT, FL 33837-8104
Phone number: