Ellis, Jonathan David

Ellis, Jonathan David is an individual health care provider with primary practice located at 2427 Russellville Rd , Bowling Green KY 42101-3980. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ellis, Jonathan David can be contacted via phone (270) 936-7472.

Contact Information

Primary practice address
2427 Russellville Rd Bowling Green KY 42101-3980
Phone: (270) 936-7472
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-23-292814

Profile Details

NPI number 1194506576
LBN Legal business name Ellis, Jonathan David
Credentials BS, RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2023
Last updated Oct 11th, 2023 - about 2 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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