MRS. ELLIS PETRONELLA VAN DEN BOOGAARD MS ED., MA
NPI 1891514824
Behavior Technician in San Diego, CA
About Mrs. Ellis Petronella Van Den Boogaard Ms Ed., Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ELLIS PETRONELLA VAN DEN BOOGAARD MS ED., MA (NPI 1891514824) is an individual behavior technician in San Diego, California, licensed in California (23-294299) and active in the NPI registry since October 2024.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ellis Van Den Boogaard's NPI number?
The NPI number for Ellis Van Den Boogaard is 1891514824. It was assigned to this individual provider in the NPPES registry on October 7, 2024.
Where is Ellis Van Den Boogaard located?
Ellis Van Den Boogaard practices at 5335 Calle Vis, San Diego, CA 92109. The listed phone number is (858) 882-7860.
What is Ellis Van Den Boogaard's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Ellis Van Den Boogaard was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.