Alexis M Ellis

Individual provider Active NPI Behavior Technician · Rochester, MA

NPI 1952020562 · NPPES record last updated Aug 25, 2022

Key facts

NPI
1952020562
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
31 Hiller Rd
Rochester, MA 02770-4024
Phone
(774) 454-1994
Fax
(508) 273-2353
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway ABA Therapy LLC Current
since Aug 28, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

31 Hiller Rd
Rochester, MA 02770-4024

Mailing address

1247 Central St
East Bridgewater, MA 02333-1640
Phone (781) 521-9937

Other providers in Rochester, MA

All providers in Rochester, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.