Javon Ellis
Technician/Technologist Behavior Technician
41521 W 11 Mile Rd
Novi
, Michigan 48375-1803
Javon Ellis
Technician/Technologist Behavior Technician
41521 W 11 Mile Rd
Novi
, Michigan 48375-1803
(248) 711-2438
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About
Features
Specialties
- Behavior Technician
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Javon Ellis
- 405 W Greenlawn Ave Ste 200
- Lansing, MI
- Zip : 48910-2889
- Fax : (248) 711-2438
- Phone : (517) 657-2638
Second Address
- Javon Ellis
- 41521 W 11 Mile Rd
- Novi, MI
- Zip : 48375-1803
- Phone : (269) 370-5525
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | ||
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1316548480 |
|---|---|
| Provider Name | Javon Ellis |
| First Address | Lansing, MI 48910-2889 |
| Second Address | Novi, MI 48375-1803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/11/2020 |
| Last Update Date | 01/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.