BROCK KIRKHAM ELLISON
NPI 1710797410
Behavior Technician in Orem, UT

Active since January 13, 2025

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brock Kirkham Ellison NPPES

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

BROCK KIRKHAM ELLISON (NPI 1710797410) is an individual behavior technician in Orem, Utah and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1710797410
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameBROCK KIRKHAM ELLISON
Location Address475 W 260 NOrem, UT 84057-1970
Mailing Address475 W 260 NOrem, UT 84057-1970
Sole ProprietorNo
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1710797410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

475 W 260 N, Orem, UT 84057

Other Identifiers 1

Medicaid1396085718UT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
475 W 260 N
OREM, UT 84057
Behavior Technician
475 W 260 N
OREM, UT 84057
Behavior Analyst
475 W 260 N
OREM, UT 84057
Technician, Other
475 W 260 N
OREM, UT 84057
Behavior Technician
475 W 260 N
OREM, UT 84057
Behavior Analyst
475 W 260 N
OREM, UT 84057
Behavior Technician
475 W 260 N
OREM, UT 84057
Behavior Technician
475 W 260 N
OREM, UT 84057

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 Brock Ellison's NPI number?

The NPI number for Brock Ellison is 1710797410. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Brock Ellison located?

Brock Ellison practices at 475 W 260 N, Orem, UT 84057. The listed phone number is (801) 221-9930.

What is Brock Ellison's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Brock Ellison was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.