Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY C ELLIS, MD
ActiveMARY C ELLIS, MD is a Behavior Analyst healthcare provider located in CALDWELL, Idaho. NPI 1376146837 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · CALDWELL, ID
Registration Details
- NPI Number
- 1376146837
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2020 (5.6957645740188 yrs)
- Last Updated
- Jun 5, 2025
Practice Information
- Address
-
11080 ROARING FORK STCALDWELL, ID, 836052078Browse ID providers · Browse ZIP 83605
- Phone
- 9493067962
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in CALDWELL, ID
| Name | Credential | NPI |
|---|---|---|
| TEREZA BLAZKOVA HOPEWELL | BCBA | 1043684467 |
| KIMBERLY BEEBE | — | 1568911204 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.