Individual provider · Type 1 NPI

Mary C. Ellis, MD

Behavior Analyst · Caldwell, ID

NPI number 1376146837 Active

Practice location

11080 Roaring Fork St
Caldwell, ID 83605-2078

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1376146837

Mary C. Ellis, MD's National Provider Identifier is 1376146837, issued on Nov 18, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Caldwell, ID. The record was last updated on Jun 5, 2025.