Mark Ellis, RBT

Behavior Analyst · Cocoa, FL

Individual Active NPI

NPI number 1366808677

Practice location

453 King St
Cocoa, FL 32922-7621
Phone
(321) 633-5511

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NPI record

NPI
1366808677
Entity type
Individual (Type 1)
Enumeration date
January 4, 2016
Last updated
January 4, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X BACB 327581 —

Mailing address

3275 Teal St
Titusville, FL 32796-1238
Phone
(321) 507-8631

About Mark Ellis

Mark Ellis, RBT is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 453 King St, Cocoa, FL 32922-7621. The NPI number 1366808677 was assigned on January 4, 2016 and the record was last updated on January 4, 2016.

Mark Ellis lists a license in the registry: #BACB 327581 for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Ellis, RBT?

The NPI number is 1366808677.

What is the phone number of Mark Ellis?

The phone number listed for the practice location is (321) 633-5511.

Where is Mark Ellis located?

453 King St, Cocoa, FL 32922-7621.

What is the taxonomy code for Mark Ellis?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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