MARK ELLIS (NPI# 1366808677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366808677 |
| Entity Type | Individual |
| Full Name | MARK ELLIS |
| Credential | RBT |
| Practice Address |
453 King St Cocoa FL 32922-7621 |
| Mailing Address |
3275 Teal St Titusville FL 32796-1238 |
| Practice Telephone | 3216335511 |
| Mailing Telephone | 3215078631 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BACB 327581 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972897080 | Mark Ellis | Podiatrist | 12592 S 150 E, Draper, UT 84020-8611 | 2011-06-06 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1174661672 | Mark Joseph Ellis | Chiropractor | 41 Western Avenue, Rochester, NH 03867 | 2007-02-05 |
| 1336204171 | Mark J Ellis | Respiratory Therapist, Certified | 1101 Jefferson Blvd, Hagerstown, MD 21742-5037 | 2006-12-22 |
| 1184719262 | Mark Allen Ellis | Dentist | 910 Averitt Rd, Greenwood, IN 46143-9540 | 2006-10-04 |
| 1437240124 | Mark Owen Ellis | Podiatrist | 582 22nd Street, Astoria, OR 97103 | 2006-09-27 |
| 1083632244 | Mark Brian Ellis | Family Medicine | 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 | 2006-07-17 |
| 1265426894 | Mark Alan Ellis | Dentist | 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 | 2005-09-09 |
| 1316580509 | Mark Duane Ellis | Licensed Practical Nurse | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-10-21 |
| 1629427752 | Mark Andrew Ellis | Otolaryngology | 169 Ashley Ave, Room 202 Main Hospital, Msc 333, Charleston, SC 29425-9080 | 2016-06-09 |
| Street Address |
453 KING ST |
| City | COCOA |
| State | FL |
| Zip Code | 32922-7621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588968671 | Tiffanie Duncan | Occupational Therapist | 453 King St, Cocoa, FL 32922-7621 | 2011-01-04 |
| 1578162723 | Estefany Umanzor | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2020-10-20 |
| 1982202503 | Alivia Knight | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2020-10-15 |
| 1841897782 | Dung Haylie Le | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2020-10-05 |
| 1639797848 | Kenneth L Holley Jr. | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2020-07-14 |
| 1174164461 | Zykira Dixon | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2019-10-08 |
| 1962059253 | Chylan Tucker I | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2019-08-21 |
| 1922655455 | Kaycie Grizzard | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2019-08-20 |
| 1730749177 | Tara Fox-bessey | Behavioral Analyst | 453 King St, Cocoa, FL 32922-7621 | 2019-06-18 |
| 1437616190 | Reynald Vernon Wright Jr. | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2019-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| 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 |
|---|---|---|---|---|
| 1073129839 | I'mpossible Behavior Services | Behavioral Analyst | 5500 N Highway 1, Cocoa, FL 32927-6006 | 2020-09-17 |
| 1356824981 | Magdalena A Mcneeley | Behavioral Analyst | 1370 Mycroft Dr, Cocoa, FL 32926-1825 | 2018-09-10 |
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1881942167 | Vicki Lynn Bauer | Behavioral Analyst | 6370 Gillette Ave, Cocoa, FL 32927-2226 | 2012-08-17 |
| 1922388362 | Angela K Potucek | Behavioral Analyst | 4020 Hess Ave, Cocoa, FL 32926-6806 | 2011-08-17 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1396068292 | Mildred M. Chapman | Behavioral Analyst | 550 Saint Johns Street, Cocoa, FL 32922-7241 | 2010-03-05 |
| 1841829280 | North Brevard Medical Support, Inc | Behavioral Analyst | 7075 N Us Highway 1, Cocoa, FL 32927-5216 | 2020-04-07 |
| 1730749177 | Tara Fox-bessey | Behavioral Analyst | 453 King St, Cocoa, FL 32922-7621 | 2019-06-18 |
| 1760999437 | Nicole Heron | Behavioral Analyst | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2018-01-04 |
| Find all providers in COCOA | ||||
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| 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.