Dalisha Quanae Ellis

Behavior Technician · Stockbridge, GA

Individual Active NPI Reactivated June 6, 2023

NPI number 1245929181

Practice location

115 N Park Trl Ste 123
Stockbridge, GA 30281-7373
Phone
(470) 491-2050

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NPI record

NPI
1245929181
Entity type
Individual (Type 1)
Enumeration date
May 5, 2023
Last updated
June 6, 2023
Certified
June 6, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

300 International Parkway
Suite 200
Lake Mary, FL 32746-3625
Phone
(866) 610-0580

About Dalisha Ellis

Dalisha Quanae Ellis is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 115 N Park Trl Ste 123, Stockbridge, GA 30281-7373. The NPI number 1245929181 was assigned on May 5, 2023 and the record was last updated on June 6, 2023.

Frequently asked questions

What is the NPI number of Dalisha Quanae Ellis?

The NPI number is 1245929181.

What is the phone number of Dalisha Ellis?

The phone number listed for the practice location is (470) 491-2050.

Where is Dalisha Ellis located?

115 N Park Trl Ste 123, Stockbridge, GA 30281-7373.

What is the taxonomy code for Dalisha Ellis?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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