IndividualActive
Derek Ellingsen
NPI 1871286385 · Behavior Technician · Bozeman, MT
Provider details
- NPI number
- 1871286385
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-22-206518 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1091 Stoneridge Dr
Bozeman, MT 59718-7042
Phone: (406) 624-6599
Fax: (888) 336-0944
Approximate (ZIP-level) locationGet directions
Mailing address
1091 Stoneridge Dr
Bozeman, MT 59718-7042
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-05-31
- Certified
- 2023-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.