DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANGELIQUE ELLIS

MEDICARE: ANGELIQUE 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 Technician

General Provider Information

NPI Number : 1043160492
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIQUE ELLIS
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number :
Provider Business Practice Location Address
First Line : 7111 W BELL RD STE 101
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8552
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

Similar Medicare Providers

1174473789 — DAVID-NICHOLAS WORTH
Practice Location Address:
7111 W BELL RD STE 101
GLENDALE, AZ
85308-8552
Practice Phone: 855-223-7123
Practice Fax: 619-374-7134
1114877636 — SHIMRAN SAMANTARAY
Practice Location Address:
7111 W BELL RD STE 101
GLENDALE, AZ
85308-8552
Practice Phone: 855-223-7123
Practice Fax:
1740131168 — CASSIUS LLOYD
Practice Location Address:
7111 W BELL RD STE 101
GLENDALE, AZ
85308-8552
Practice Phone: 855-223-7123
Practice Fax:
1881545986 — ALEXA MEDRANO
Practice Location Address:
7111 W BELL RD STE 101
GLENDALE, AZ
85308-8552
Practice Phone: 855-223-7123
Practice Fax:
1134497753 — PREMIER SPORTS IMAGING OF GLENDALE
Practice Location Address:
7111 W BELL RD STE 104
GLENDALE, AZ
85308-8552
Practice Phone: 602-943-9200
Practice Fax: 602-216-3000
1104227933 — MELISSA KREITNER
Practice Location Address:
7111 W BELL RD STE 101
GLENDALE, AZ
85308-8552
Practice Phone: 855-223-7123
Practice Fax:

Directions to “ ANGELIQUE ELLIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.