Individual provider · Type 1 NPI

Earlissa Bourne

Behavior Analyst · Columbus, GA

NPI number 1407433394 Active

Practice location

6100 Veterans Pkwy Ste 11
Columbus, GA 31909-3514

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Behavior Technician 106S00000XNone listed

Behavior Analyst: 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…

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About NPI 1407433394

Earlissa Bourne's National Provider Identifier is 1407433394, issued on Mar 26, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Columbus, GA. The record was last updated on Nov 26, 2025.