David Ellers

Individual provider Active NPI Behavior Technician · Dunnellon, FL

NPI 1992437362 · NPPES record last updated Jun 25, 2022

Key facts

NPI
1992437362
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-22-222282 (FL)
Practice address
20785 W McKinney Ave
Dunnellon, FL 34431-6418
Phone
(352) 342-5006
NPI assigned
Jun 25, 2022
Sex
Male
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
RBT-22-222282FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Practical Behavior Solutions, LLC Past
since Jul 3, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-222282 FL Yes

Addresses

Primary practice location

20785 W McKinney Ave
Dunnellon, FL 34431-6418

Mailing address

20785 W McKinney Ave
Dunnellon, FL 34431-6418

Other providers in Dunnellon, FL

All providers in Dunnellon, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.