MIA MOENAE ELLIS
NPI 1659168532
Behavior Analyst in Marietta, GA

Q: What is the provider's specialty?

The provider's specialty is Behavior Analyst with taxonomy code 103K00000X.

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: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Other Providers Same Location
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Individual
Female
Behavior Analyst

About MIA ELLIS

This page provides the complete NPI Profile along with additional information for Mia Ellis, a provider established in Marietta, Georgia with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1659168532 assigned on April 2025. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1659168532 Verify this NPI
Provider Name: MIA MOENAE ELLIS
Gender: Female
Entity Type: Individual
Location Address: 137 JOHNSON FERRY RD STE 2170 MARIETTA, GA 30068
Location Phone: (470) 648-0510
Mailing Address: 137 JOHNSON FERRY RD STE 2170 MARIETTA, GA 30068
Mailing Phone: (470) 648-0510
Is Sole Proprietor?: No
Enumeration Date: 04-23-2025
Last Update Date: 04-23-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Behavior Analyst
Taxonomy Code: 103K00000X
Type: Behavioral Health & Social Service Providers
Taxonomy Description: 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.