Holly Ellis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-84897 Issued in AR

Practice address

2815 Longview Dr
Jonesboro, AR 72401-5919

Phone

(870) 842-3274

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1639862139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 WILDFLOWER CT",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048882",
            "telephone_number": "870-340-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 LONGVIEW DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015919",
            "telephone_number": "870-842-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": "RBT-23-272646",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AR",
            "license": "1-25-84897",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "AR",
            "license": "0-25-16190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ellington, DPM
• Mary Elliott, RRT
• Robyn Elliott, PTA
• Ashley Ellis
• Brandy N Ellis, RN
• Joel Andrew Ellis, LCSW
• Juanita Ellis
• Lora Ellis, LPN
• Lori Ellis, R.N.
• Zoelyn Nicole Ellis

• Behavior Analyst in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.