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

Jaylen Ellison

Individual provider Behavior Technician · NPI 1811850662

Jaylen Ellison is a Behavior Technician in Davenport, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1459 Berry Ln
Davenport, FL 33837-8104
Phone: (978) 798-8079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1419921 (FL)

Record details

NPI number1811850662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address1459 Berry Ln, Davenport, FL 33837-8104

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