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

Brock Kirkham Ellison

Individual provider Behavior Technician · NPI 1710797410

Brock Kirkham Ellison is a Behavior Technician in Orem, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

475 W 260 N
Orem, UT 84057-1970
Phone: (801) 221-9930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1710797410
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address475 W 260 N, Orem, UT 84057-1970

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