MARY C ELLIS MD
NPI 1376146837
Behavior Analyst in Caldwell, ID

Active since November 18, 2020
11080 ROARING FORK ST, CALDWELL, ID 83605(949) 306-7962 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2025, Nov 18, 2020 (2 updates tracked since 2020).

About Mary C Ellis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY C ELLIS MD (NPI 1376146837) is an individual behavior analyst provider in Caldwell, Idaho and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1376146837
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMARY C ELLISCredential: MD
Location Address11080 ROARING FORK STCaldwell, ID 83605-2078
Mailing Address11080 Roaring Fork StCaldwell, ID 83605-2078 · (949) 306-7962
Sole ProprietorNo
Enumeration DateNovember 18, 2020
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
NPI 1376146837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

11080 ROARING FORK ST, Caldwell, ID 83605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellis's NPI number?

The NPI number for Mary Ellis is 1376146837. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Mary Ellis located?

Mary Ellis practices at 11080 Roaring Fork St, Caldwell, ID 83605. The listed phone number is (949) 306-7962.

What is Mary Ellis's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Mary Ellis was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.