Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Ellis

Individual provider Behavior Analyst · NPI 1063867612

Brian Ellis is a Behavior Analyst in Panama City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
Specialties on file
2

Practice location Address checks out

5535 Pinetree Rd
Panama City, FL 32404-5164
Phone: (850) 257-6408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-44656 (FL)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1063867612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 2, 2016
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020
Mailing address5535 Pinetree Rd, Panama City, FL 32404-5164

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