Individual provider · Type 1 NPI

Merrick Ellis, RBT

Behavior Technician · Grove, OK

NPI number 1477467660 Active

Practice location

1629 S Main St
Grove, OK 74344-5368

Mailing address

553 S Colcord Ave
Colcord, OK 74338-1740

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1477467660

Merrick Ellis, RBT's National Provider Identifier is 1477467660, issued on Oct 2, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Grove, OK. The record was last updated on Oct 2, 2026.