Active NPI
Garrett Ellwood, BCBA
- Behavior Analyst
- Bala Cynwyd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH007423
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BH007423 | PA | MD | Behavioral Analyst |
| 0133003765 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Centers of Pennsylvania LLC | Behavior Analyst | Current | Accepting new patients |
| ABA Centers of Virginia LLC | Behavior Analyst | Past | 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.
-
- Behavior Analyst
- Bala Cynwyd, PA
- NPI 1366152563
-
- Behavior Analyst
- Alexandria, VA
- NPI 1033893839
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.