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

Ellie Johnson

Individual provider Behavior Technician · NPI 1417766528

Ellie Johnson is a Behavior Technician in Davenport, Iowa. Licensed in Iowa. Registered with an NPI since 2025.

Licensed in
IA
In the registry since
2025

Practice location Address checks out

4959 Utica Ridge Rd
Davenport, IA 52807-3063
Phone: (563) 362-9631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 25-403066 (IA)

Record details

NPI number1417766528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2025
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address4959 Utica Ridge Rd, Davenport, IA 52807-3063

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