Individual provider Active NPI

Shayla Ellis, M.ED., BCBA, LBA

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1770977282
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA002965 Issued in GA
Practice address
3098 Piedmont Rd NE Ste 200
Atlanta, GA 30305-2600
Phone
(561) 850-7812
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 4776 TX
Behavior Analyst 103K00000X LBA002965 GA Primary

Addresses

Primary practice location

3098 Piedmont Rd NE Ste 200
Atlanta, GA 30305-2600

Mailing address

542 Amherst St Ste B
Nashua, NH 03063-1016
Phone (561) 850-7812

Other practice location 1

12951 Briar Forest Dr Apt 236
Houston, TX 77077-2037
Phone (734) 286-2734

Other practice location 2

20718 Park Row Dr
Katy, TX 77449-5181
Phone (561) 850-7812

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
4776TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1770977282",
    "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",
            "telephone_number": "561-850-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 PIEDMONT RD NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052600",
            "telephone_number": "561-850-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12951 Briar Forest Dr Apt 236",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770772037",
            "country_code": "US",
            "telephone_number": "734-286-2734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20718 Park Row Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774495181",
            "country_code": "US",
            "telephone_number": "561-850-7812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SHAYLA",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4776",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "LBA002965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.