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MIA MOENAE ELLIS
NPI 1659168532
Behavior Analyst in Marietta, GA

Active since April 23, 2025
137 JOHNSON FERRY RD STE 2170, MARIETTA, GA 30068(470) 648-0510 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mia Moenae Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA MOENAE ELLIS (NPI 1659168532) is an individual behavior analyst provider in Marietta, Georgia and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1659168532
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMIA MOENAE ELLIS
Location Address137 JOHNSON FERRY RD STE 2170Marietta, GA 30068-4948
Mailing Address137 Johnson Ferry Rd Ste 2170Marietta, GA 30068-4948 · (470) 648-0510
Phone(470) 648-0510
Sole ProprietorNo
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1659168532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
137 JOHNSON FERRY RD STE 2170, Marietta, GA 30068
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCINE BRYAN
Behavior Technician
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068
Cobb County (855) 543-2002
NOLA GRACE BOORTZ
Behavior Technician
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068
Cobb County (470) 648-0510
KAYLI ELYSE PLEDGER BCBA
Behavior Analyst
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068
Cobb County (470) 648-0510
VICTORIA JADE.A MCHARDY
Behavior Technician
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068
Cobb County (470) 648-0513
LENIYA GRESHAM
Behavior Technician
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068
Cobb County (470) 648-0510
KELSEY MARGARET COLLIER
Behavior Technician
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068
Cobb County (470) 648-0510
MAYA ALONI NELSON
Behavior Technician
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068
Cobb County (470) 648-0510
LANIA PALMER
Behavior Analyst
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068
Cobb County (470) 648-0510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Ellis's NPI number?

The NPI number for Mia Ellis is 1659168532. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Mia Ellis located?

Mia Ellis practices at 137 Johnson Ferry Rd Ste 2170, Marietta, GA 30068. The listed phone number is (470) 648-0510.

What is Mia Ellis's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Mia Ellis was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.