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

Mrs. Dock Phillip Ellis III

Individual provider Behavior Technician · NPI 1649708355

Mrs. Dock Phillip Ellis III is a Behavior Technician in Encino, California. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

16500 Ventura Blvd
Encino, CA 91436-2011
Phone: (818) 788-1003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 28175 Alton Way, Castaic, CA 91384-3801 — (310) 740-1353

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1649708355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESJuly 21, 2022

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