Stephanie Rene Ellis, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

108 E York St # 247
Savannah, GA 31401-3719

Phone

(813) 763-5469

NPI assigned

Mar 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1487302147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WHISPERING OAKS DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315205742",
            "telephone_number": "912-242-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E YORK ST # 247",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013719",
            "telephone_number": "813-763-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STEPHANIE",
        "middle_name": "RENE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Errett Ellis, M.D.
• Margaret Ann Ellis, M.D.
• Morgan Taylor Ellis
• Shannon Bolling Ellis, D.O.
• Stephanie Rachel Ellis, PHARM.D.
• Gregory Taylor Ellison Jr., M.D.
• Nancy Halligan Ellison, PA
• Natasha L Ellison
• Natalie Rene Elmgren
• Carisa Elmore, CPNP-AC

• All providers in Savannah, GA
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.