Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEENAN ELLIS
ActiveBehavior Technician · DAVIS, CA
Registration Details
- NPI Number
- 1518693761
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2022 (3.7488964864145 yrs)
- Last Updated
- Sep 26, 2022
- Licenses
-
Y4620530 (CA)Y4620530 (CA)
Practice Information
- Address
-
1947 GALILEO CT STE 101DAVIS, CA, 956184882Browse CA providers · Browse ZIP 95618
- Phone
- 1530220145
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Behavior Technician
Other Behavior Technician Providers in DAVIS, CA
| Name | Credential | NPI |
|---|---|---|
| URSULA STALLWORTH | C.M.P | 1720401185 |
| RAYNALD DIZON | — | 1407399637 |
| CHAD CABRISTANTE | — | 1821508052 |
| NICHOLAS ANTHONY SPILKA | — | 1710495643 |
| SEDA BITTER | — | 1487152443 |
| ALIS MARTINEZ | — | 1578061388 |
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.