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

Ellisa Lynne Everhart

Individual provider Behavior Technician · NPI 1184464166

Ellisa Lynne Everhart is a Behavior Technician in San Mateo, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

424 Peninsula Ave
San Mateo, CA 94401-1653
Phone: (650) 286-4396
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1184464166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

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