Healthcare Provider Details
I. General information
NPI: 1801774096
Provider Name (Legal Business Name): MISS ELLA G FERRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
465 POLLY DRUMMOND HILL RD
NEWARK DE
19711-4340
US
IV. Provider business mailing address
465 POLLY DRUMMOND HILL RD
NEWARK DE
19711-4340
US
V. Phone/Fax
- Phone: 302-743-2162
- Fax:
- Phone: 302-743-2162
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: