IndividualActive
Samantha Ellis
NPI 1841959533 · Behavior Technician · Wake Forest, NC
Samantha Ellis is a Behavior Technician provider in Wake Forest, NC (NPI 1841959533).
Provider details
- NPI number
- 1841959533
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
1530 Woodfield Creek Dr Apt 205
Wake Forest, NC 27587-4758
Phone: (919) 889-4990
Street-level locationGet directions
Mailing address
1530 Woodfield Creek Dr Apt 205
Wake Forest, NC 27587-4758
Registry dates
- Enumerated
- 2021-12-10
- Last updated
- 2021-12-10
- Certified
- 2021-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.