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Holly Ellis

Behavior Analyst in Jonesboro, AR. Individual provider (NPI-1).

NPI number1639862139
StatusActive
Last updated in NPPESOct 11, 2025

Details

NPI
1639862139
Entity type
Individual (NPI-1)
Name
Holly Ellis
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2023
Certification date
Oct 11, 2025
Last updated
Oct 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-25-84897ARYes
106S00000X Behavior TechnicianRBT-23-272646AR
106E00000X Assistant Behavior Analyst0-25-16190AR

Practice location

2815 Longview Dr
Jonesboro, AR 72401-5919

Phone 870-842-3274

Mailing address

5625 Wildflower Ct
Jonesboro, AR 72404-8882

Phone 870-340-7808

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