Individual
BRIAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA, LBA
Contact information
Practice address
1402 S SAGINAW ST, FLINT, MI 48503-3705
(810) 257-3705
Mailing address
1040 W BRISTOL RD, FLINT, MI 48507-5516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001907
MI
Other
Enumeration date
04/17/2019
Last updated
09/11/2025
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