Bryana Ellis, RBT

Individual provider Active NPI Behavior Analyst · Alpharetta, GA

NPI 1548923899 · NPPES record last updated Sep 17, 2025

Key facts

NPI
1548923899
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-24-71401 (GA)
Practice address
1356 Bluegras LKS Pkwy
Alpharetta, GA 30004-3395
Phone
(678) 486-1911
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-21-176728GAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-24-71401 GA Yes
Behavior Technician 106S00000X RBT-21-176728 GA

Addresses

Primary practice location

1356 Bluegras LKS Pkwy
Alpharetta, GA 30004-3395

Mailing address

6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645
Phone (678) 648-7644

Other practice location 1

12395 Morris Rd
Alpharetta, GA 30005-4000
Phone (678) 648-7644

Other providers in Alpharetta, GA

All providers in Alpharetta, GA · Behavior Analyst in Georgia

Sources for this page

Verify at the official NPI Registry.