Hannah Nicole Ellis
Individual provider Active NPI Behavior Analyst · Blue Ridge, GA
NPI 1871116640 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1871116640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-21-47129 (GA)
- Practice address
- 2800 Scenic Dr Ste 12
Blue Ridge, GA 30513-1402 - Phone
- (706) 946-0466
- NPI assigned
- May 27, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Skies ABA, Inc. | Behavior Analyst | Past |
Accepting new patients |
Interoperability endpoints
- hannah@therapyland.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-47129 | GA | Yes |
Addresses
Primary practice location
2800 Scenic Dr Ste 12
Blue Ridge, GA 30513-1402
Mailing address
2800 Scenic Dr Ste 12
Blue Ridge, GA 30513-1402
Phone (706) 946-0466
Other practice location 1
20 Howard Davis Dr
Ellijay, GA 30540-3678
Phone (706) 889-2650
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Hannah@therapyland.net |
Other providers in Blue Ridge, GA
- Charles Wessinger Duke
- David Lee Durham
- Amy East
- Steven Neal Efird
- Richie Ellingson
- Angel Fain
- Family Life Chiropractic Center
- Familylife Medical, LLC
- Fannin County Board of Commissioners
- Fannin County Health Department
All providers in Blue Ridge, GA · Behavior Analyst in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.