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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE LYNAE ELLIS, BA, RBT

Active

MICHELLE LYNAE ELLIS, BA, RBT is a Behavior Technician healthcare provider located in PONTE VEDRA BEACH, Florida. NPI 1710594049 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · PONTE VEDRA BEACH, FL

Registration Details

NPI Number
1710594049
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2020 (5.8493784305803 yrs)
Last Updated
May 20, 2022
License
RBT-20-133340 (GA)

Practice Information

Address
130 CORRIDOR RD UNIT 3929
PONTE VEDRA BEACH, FL, 320047850
Browse FL providers · Browse ZIP 32004
Phone
2543835991
Primary Specialty
Behavior Technician
106S00000X
Additional Specialty
Behavior Technician

Other Behavior Technician Providers in PONTE VEDRA BEACH, FL

Name Credential NPI
MARILYN GREENFIELD 1982011680
ANGELA PHIPPS 1568915601
RACHEL TENSFELDT 1285161729
MEAGHAN BIZON 1629594304
ALEXIS BUSTER RBT 1932615242
MACY KWAKENAT 1992211098
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.