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NPI Code Detail

MEDICARE: EMILY JOANNA ELLIS

MEDICARE: EMILY JOANNA ELLIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianLA

General Provider Information

NPI Number : 1184587495
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY JOANNA ELLIS
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 11607 SOUTHFORK AVE BLDG B
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-5220
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ EMILY JOANNA ELLIS ” Practice Location

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