Emily Ellen Robertson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-58820 Issued in GA

Practice address

2010 Montreal Rd
Tucker, GA 30084-5203

Phone

(770) 609-8777

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Emily Ellen Elder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1013533421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 W HILL ST",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211203",
            "telephone_number": "770-519-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845203",
            "telephone_number": "770-609-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "EMILY",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-20-124134",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-22-58820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ELDER",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert L Elwelljr OD PC
• Robert W. Marsh, Dopc
• Alexander Ryan Roberts, MED
• Elizabeth Roberts, D.P.T., M.M.SC.
• Shanell Roberts
• Brittany Alicia Robinson, PHD
• Charlene Y Robinson, M.D
• Jairus Daniel Robinson, LCSW
• Deana Rogers, PHARMD
• Maryann Romski, PH.D.

• Behavior Analyst in Tucker, GA
• Providers in Tucker, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.