Ellis, Camillia

Ellis, Camillia is an individual health care provider with primary practice located at 901 Sneath Ln Ste 105 , San Bruno CA 94066-2415. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Ellis, Camillia can be contacted via phone (650) 515-9882.

Contact Information

Primary practice address
901 Sneath Ln Ste 105 San Bruno CA 94066-2415
Phone: (650) 515-9882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1245717644
LBN Legal business name Ellis, Camillia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2018
Last updated Feb 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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