Janie Ellis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-64449 Issued in GA

Practice address

985 Bruton CT SW
Marietta, GA 30064-2971

Phone

(770) 823-6072

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

Yes

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1609576016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 HAWKS CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304614218",
            "telephone_number": "770-823-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 BRUTON CT SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642971",
            "telephone_number": "770-823-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-64449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Franklin Elliott, DDS
• Natalie Allene Nichole Elliott, LPC, LMFT, NCC, CST
• Sarah Bentley Elliott, PA-C
• Bernice Ellis-Veal, LPN
• Erin Lynn Ellis, DENTAL ASSISTANT
• Justin Thomas Ellis, NP-BC, MSSM
• Kelly Abbott Ellis, DPT
• Melissa Ellis, MSW
• Mia Moenae Ellis
• Natasha Ellis, NP

• Behavior Analyst in Marietta, GA
• Providers in Marietta, 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 6, 2023; 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.