Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518693761 Individual Practitioner Male Practitioner

Keenan Ellis

Behavior Technician • Davis, CA

Professional Overview & Biography Verified Profile Summary

Keenan Ellis is a registered healthcare professional specializing in Behavior Technician in Davis, CA. Practice services are available at 1947 GALILEO CT STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1947 Galileo Ct Ste 101

Davis, CA 956184882

Telephone 1530220145

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Davis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
217 Specialists

Practicing in Davis, CA (172337 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-26
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License CA Y4620530

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License CA Y4620530

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sara Vasquez

Behavior Technician

NPI 1003772583
Amber Shults

Behavior Technician

NPI 1013415827
Rayne Caragan

Behavior Technician

NPI 1013738855
Eleanor Greene

Behavior Technician

NPI 1013844042
Emerie Elrod

Behavior Technician

NPI 1013882794
Claire Regan

Behavior Technician

NPI 1023693371

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 29, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2022

Registered at 1947 GALILEO CT STE 101, DAVIS, CA 956184882 (Tel: 1530220145)

📍
Updated Business Mailing Address July 29, 2022

Registered at 2707 BRANDYWINE PL, DAVIS, CA 956162904 (Tel: 8029991442)

👤
Provider Name / Credentials Updated July 29, 2022

Recorded as KEENAN ELLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2022

Behavior Analyst (License #Y4620530 in CA)

🟢
Initial NPI Registration & Enumeration July 29, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518693761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2022
Last Update: September 26, 2022
Sole Proprietor: No

Mailing Address

2707 Brandywine Pl

Davis, CA 956162904

Phone: 8029991442

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.