BRIAN ELLIS (NPI# 1063867612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063867612 |
| Entity Type | Individual |
| Full Name | BRIAN ELLIS |
| Practice Address |
5535 Pinetree Rd Panama City FL 32404-5164 |
| Practice Telephone | 8502576408 |
| Mailing Telephone | 8502576408 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-20-44656 | FL | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBA | 1-20-44656 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992105878 | Brian Ellis | Licensed Practical Nurse | 19000 Eastwood Dr, Harper Woods, MI 48225-2080 | 2014-08-28 |
| 1912128760 | Brian Ellis | Physical Therapist | 1809 Brenner Ave Ste 102, Salisbury, NC 28144-2567 | 2007-05-01 |
| 1598328452 | Brian Ellis | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-04-17 |
| 1881181014 | Brian Ellis | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-04-13 |
| 1598279853 | Brian Todd Ellis | Social Worker | 1501 42nd St, West Des Moines, IA 50266-1005 | 2017-11-24 |
| 1194010090 | Brian Eric Ellis | Pharmacist | 580 Marketplace Dr, T-1002, Bel Air, MD 21014-4310 | 2011-06-20 |
| 1801115886 | Brian Ellis | Nurse Anesthetist, Certified Registered | 1100 Tunnel Rd, Asheville, NC 28805-2043 | 2010-05-31 |
| 1700046273 | Brian Thomas Ellis | Pediatrics | 500 E Robinson St, Ste 2600, Norman, OK 73071-6697 | 2008-06-09 |
| 1487745964 | Brian Jon Ellis | Surgery | 4260 Glendale Milford Rd, Suite 102, Cincinnati, OH 45242-3752 | 2006-09-27 |
| 1124038047 | Brian E Ellis | Family Medicine | 109 Daniel Dr, Danville, KY 40422-2527 | 2006-08-09 |
| Street Address |
5535 PINETREE RD |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32404-5164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| Find all providers in zip 32404 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral 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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1811403710 | Sara Bond | Behavioral Analyst | 4324 W 20th St Apt J309, Panama City, FL 32405-1450 | 2017-12-14 |
| 1417462607 | Claudia Michelle Whitmarsh | Behavioral Analyst | 7120 Patronis Dr Apt 1701, Panama City, FL 32408-5754 | 2017-12-10 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1063863231 | Focus On Behavior | Behavioral Analyst | 445 Grace Ave, Panama City, FL 32401-2721 | 2016-06-28 |
| 1144678855 | Faith Olivia Woerner | Behavioral Analyst | 4750 Collegiate Dr., Panama City, FL 32405 | 2016-06-03 |
| 1205207024 | Mariah Leeann Dodd | Behavioral Analyst | 4750 Collegiate Drive, Panama City, FL 32405 | 2015-10-20 |
| 1649640053 | Charles Brent Martin | Behavioral Analyst | 203 Forest Park Cir, Suite E, Panama City, FL 32405-4916 | 2015-09-28 |
| 1689087751 | Kuryn Patterson | Behavioral Analyst | 2404 Ruth Hentz Ave Bldg B, Panama City, FL 32405-2258 | 2014-06-06 |
| 1407266273 | Jimmy Miller | Behavioral Analyst | 1414 S Kimbrel Ave, Panama City, FL 32404-9013 | 2014-05-02 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32404 |
Please comment or provide details below to improve the information on BRIAN ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.