Ellis, Kaci R

Ellis, Kaci R is an individual health care provider with primary practice located at 1408 Nw 6Th St , Gainesville FL 32601-4020. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Ellis, Kaci R can be contacted via phone (352) 373-4411.

Contact Information

Primary practice address
1408 Nw 6Th St Gainesville FL 32601-4020
Phone: (352) 373-4411
Fax: (352) 373-4455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X RBT-20-125139 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1477170454
LBN Legal business name Ellis, Kaci R
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2020
Last updated Mar 11th, 2021 - about 3 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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