Individual provider · Type 1 NPI

Bethany Anne Ellis, B.S

Developmental Therapist · Leominster, MA

NPI number 1396925848 Active

Practice location

100 Erdman Way
Leominster, MA 01453-1804

Call (978) 840-9354 Map

Mailing address

44 Cambridge St, Apt #4
Ayer, MA 01432-1361

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X392110 (MA)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1396925848

Bethany Anne Ellis, B.S's National Provider Identifier is 1396925848, issued on Nov 13, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Leominster, MA. The record was last updated on Nov 13, 2007.