Ellison, Mia Roxanne

Ellison, Mia Roxanne is an individual health care provider with primary practice located at 4688 Ontario Mills Pkwy , Ontario CA 91764-5104. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Ellison, Mia Roxanne can be contacted via phone (909) 476-5747.

Contact Information

Primary practice address
4688 Ontario Mills Pkwy Ontario CA 91764-5104
Phone: (909) 476-5747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1972204311
LBN Legal business name Ellison, Mia Roxanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2023
Last updated Mar 13th, 2023 - about last year

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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