MARK ELLIS

Behavior Technician

Active Individual
NPI: 1649068081

Practice Address

9620 WILLOW LN UNIT B
Mokena, IL 60448

Phone: (815) 763-1407

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1649068081 is the National Provider Identifier for MARK ELLIS, a Behavior Technician provider located in Mokena, IL. This NPI was enumerated on April 26, 2025.
MARK ELLIS practices at 9620 WILLOW LN UNIT B, Mokena, IL 60448.

Quick Facts

NPI
1649068081
Type
Individual
Enumerated
Apr 26, 2025
Last Updated
Apr 26, 2025

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