Mark Ellis

NPI #1649068081 in Mokena, Illinois

Provider Information

NPI Number: 1649068081
Entity Type: Individual
Name: Mark Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 26, 2025
Last Updated: Apr 26, 2025

Practice Location

Address: 9620 WILLOW LN UNIT B
City: Mokena
State: Illinois
ZIP Code: 60448-9318
Phone: (815) 763-1407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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