Individual provider Active NPI

Garrett Ellwood, BCBA

  • Behavior Analyst
  • Bala Cynwyd, PA
National Provider Identifier
1437995289
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH007423 Issued in PA
Practice address
10 N Presidential Blvd Ste 105
Bala Cynwyd, PA 19004-1107
Phone
(877) 763-2599
NPI assigned
Jul 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH007423 PA Primary
Behavior Analyst 103K00000X 0133003765 VA

Addresses

Primary practice location

10 N Presidential Blvd Ste 105
Bala Cynwyd, PA 19004-1107

Mailing address

542 Amherst St Ste B
Nashua, NH 03063-1016

Other practice location 1

500 Delaware Ave
Wilmington, DE 19801-1490
Phone (844) 909-4222

Other practice location 2

5904 Richmond Hwy Ste 200
Alexandria, VA 22303-1864
Phone (855) 560-0421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BH007423PAMDBehavioral Analyst
0133003765VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Centers of Pennsylvania LLC Behavior Analyst CurrentSince Sep 21, 2025 Accepting new patients
ABA Centers of Virginia LLC Behavior Analyst PastSince Apr 13, 2025 Accepting new patients

Locations

155 Main Dunstable Rd
Ste 150
Nashua, NH 03060
Phone (561) 227-9814

542 Amherst St
#B
Nashua, NH 03063
Phone (844) 771-0965

10 N Presidential Blvd
Ste 105
Bala Cynwyd, PA 19004
Phone (844) 528-1222

900 Town Center Dr
Ste 100
Langhorne, PA 19047
Phone (561) 739-1801

999 Old Eagle School Rd
Ste 120
Wayne, PA 19087
Phone (561) 867-4944

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1437995289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 AMHERST ST STE B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N PRESIDENTIAL BLVD STE 105",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041107",
            "telephone_number": "877-763-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011490",
            "country_code": "US",
            "telephone_number": "844-909-4222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5904 Richmond Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223031864",
            "country_code": "US",
            "telephone_number": "855-560-0421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLWOOD",
        "first_name": "GARRETT",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH007423",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.