Kezian H Ellington
Behavior Technician in West Springfield, Massachusetts
1578362190- Practice location
- 70 Brookline Ave, West Springfield, MA 01089-2210
- Phone
- 413-612-7906
- Fax
- —
- Last updated
- March 8, 2025
Kezian Havian Ellington is a Behavior Technician based in West Springfield, MA. Kezian Havian Ellington practices in West Springfield, MA. The NPI Number for Kezian Havian Ellington is 1578362190 and holds a License No. 5PBC77 (MA). The current practice location address for Kezian Havian Ellington is 70 Brookline Ave, West Springfield, MA 01089-2210 and can be reached out via phone at 413-612-7906.
Provider Profile Details
- NPI Number
- 1578362190
- Provider Name
- Kezian Havian Ellington
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 70 Brookline Ave, West Springfield, MA 01089-2210
- Phone Number
- 413-612-7906
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 8, 2025
- Last Update Date
- March 8, 2025
- Certification Date
- March 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Brookline Ave
West Springfield, MA 01089-2210 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089-2210
- Phone Number
- 413-612-7906
Provider Business Mailing Address Details
- Address
- 284 Main St
West Springfield, MA 01089-3950 - City
- West Springfield
- State
- MA
- Zip
- 01089-3950
- Phone Number
- 413-888-7249
License Information
- License Number
- 5PBC77
- License State
- MA
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kezian H Ellington?
The NPI number of Kezian H Ellington is 1578362190. It was assigned on March 8, 2025 and is currently active in the NPPES registry.
What is the specialty of Kezian H Ellington?
Kezian H Ellington is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number 5PBC77.
Where does Kezian H Ellington practice?
The practice location is 70 Brookline Ave, West Springfield, MA 01089-2210. The office can be reached at 413-612-7906 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578362190 directly on the NPPES registry website.