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

Mark Ellis

Individual provider Behavior Technician · NPI 1649068081

Mark Ellis is a Behavior Technician in Mokena, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

9620 Willow Ln Unit B
Mokena, IL 60448-9318
Phone: (815) 763-1407
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 number1649068081
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2025
Last updated in NPPESApril 26, 2025
Certification dateApril 26, 2025
Mailing address150 E Lake St Apt 4b, Elmhurst, IL 60126-2060

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