Mya Ellison
Behavior Technician in Livonia, MI. Individual provider (NPI-1).
NPI number1801547443
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1801547443
- Entity type
- Individual (NPI-1)
- Name
- Mya Ellison
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2022
- Certification date
- Jan 27, 2022
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
29691 6 Mile Rd # 100dLivonia, MI 48152-8606
Phone 844-426-1613
Mailing address
2550 N Hollywood Way Ste 102Burbank, CA 91505-5031
Phone 866-727-8274
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All 1,072 Behavior Technician providers in Livonia · All 6,099 providers in Livonia
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