Ellie Angley, RBT
Individual provider Active NPI Behavior Technician · Warner Robins, GA
NPI 1992487193 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1992487193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-287496 (GA)
- Practice address
- 644 Tallulah TRL
Warner Robins, GA 31088-7625 - Phone
- (478) 225-2179
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-287496 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-287496 | GA | Yes |
Addresses
Primary practice location
644 Tallulah TRL
Warner Robins, GA 31088-7625
Mailing address
644 Tallulah TRL
Warner Robins, GA 31088-7625
Phone (478) 225-2179
Other providers in Warner Robins, GA
- Whitney Anderson
- Danielle A Andrews
- Stacie S. Andrews
- Angelic Helpers LLC
- Angels of Health LLC
- Chiamaka Joyce Anosike
- Oneidge Yhanna Anthony
- Jismaria Antony
- Applecare, LLC
- Jessica Arceneaux
All providers in Warner Robins, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. 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.