Individual provider · Type 1 NPI

Tristina Marie Ellenburg, MS, BCBA, COBA, LBA

Behavior Analyst · Newnan, GA

NPI number 1730607698 Active

Practice location

2147 Newnan Crossing Blvd E
Newnan, GA 30265-2406

Call (470) 241-1408 Map

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X267579 (KY)
Behavior Analyst 103K00000XCOBA.00590 (OH)
Behavior Analyst Primary 103K00000X1-17-26378

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 1730607698

Tristina Marie Ellenburg, MS, BCBA, COBA, LBA's National Provider Identifier is 1730607698, issued on Aug 31, 2017. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Newnan, GA. The record was last updated on Dec 14, 2020.