Active NPI
Shayla Ellis, M.ED., BCBA, LBA
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1770977282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA002965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4776 | TX | MD | Behavioral 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.