TRISTINA MARIE ELLENBURG MS, BCBA, COBA, LBA
NPI 1730607698
Behavior Analyst in Newnan, GA

Q: What is Tristina Ellenburg's NPI number?

The NPI number for Tristina Ellenburg is 1730607698. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Q: What is Tristina Ellenburg's specialty?

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

Active since August 31, 2017

2147 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265(470) 241-1408(317) 520-8200 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2020, Aug 31, 2017 (2 updates tracked since 2017).

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About Tristina Marie Ellenburg Ms, Bcba, Coba, Lba NPPES

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

TRISTINA MARIE ELLENBURG MS, BCBA, COBA, LBA (NPI 1730607698) is an individual behavior analyst provider in Newnan, Georgia, licensed in (1-17-26378) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1730607698

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameTRISTINA MARIE ELLENBURGCredential: MS, BCBA, COBA, LBA

Location Address2147 NEWNAN CROSSING BLVD ENewnan, GA 30265-2406

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(470) 241-1408

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateAugust 31, 2017

Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration

NPPES CertifiedDecember 14, 2020

✔ NPI 1730607698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Licenses✔ Licensed · 1-17-26378✔ Licensed in KY · 267579✔ Licensed in OH · COBA.00590

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.

2147 NEWNAN CROSSING BLVD E, Newnan, GA 30265

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Other Identifiers 1

Other1-17-26378Bcba Certificate

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 9

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

SHERITA GOLDSMITH RBT

Behavior Technician