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

Keenan Ellis

Individual provider Behavior Analyst · NPI 1518693761

Keenan Ellis is a Behavior Analyst in Davis, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1947 Galileo Ct Ste 101
Davis, CA 95618-4882
Phone: (153) 022-0145
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence Y4620530 (CA)
Behavior Analyst Taxonomy 103K00000X · Licence Y4620530 (CA)

Record details

NPI number1518693761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address2707 Brandywine Pl, Davis, CA 95616-2904

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