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

Tavis Labron Ellington

Individual provider Behavior Technician · NPI 1477324390

Tavis Labron Ellington is a Behavior Technician in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2024.

Licensed in
AR
In the registry since
2024

Practice location Address checks out

2740 College Ave
Conway, AR 72034-6141
Phone: (501) 329-5459
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AR)

Record details

NPI number1477324390
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2024
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024
Mailing address2740 College Ave, Conway, AR 72034-6141

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