JENNA ELLIOTT (NPI# 1770109175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770109175 |
| Entity Type | Individual |
| Full Name | JENNA ELLIOTT |
| Credential | MS,BCBA |
| Practice Address |
190 Handley Rd Ste C Tyrone GA 30290-2178 |
| Practice Telephone | 6788507906 |
| Mailing Telephone | 6788507906 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 12041599 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215469655 | Jenna Elliott | Occupational Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2017-04-03 |
| 1629402672 | Jenna L Elliott | Physical Therapist | 1905 Dove Crossing Ln, Suite Ab, Navasota, TX 77868-5272 | 2013-08-27 |
| 1477823789 | Jenna Elizabeth Elliott | Counselor | 2985 Cherokee St Nw, Kennesaw, GA 30144-2863 | 2012-01-03 |
| 1740393933 | Jenna R Elliott | Physical Therapist | 1900 Sunset Blvd, West Columbia, SC 29169-5932 | 2006-08-15 |
| Street Address |
190 HANDLEY RD STE C |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324384 | Cymbre Davis | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-10-20 |
| 1477152668 | Melissa Miner | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-10-20 |
| 1558960856 | Danielle Edwards | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689318 | Javaris Paggett | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-02 |
| 1619587631 | Ashaki Felix | Behavioral Analyst | 120 Millbrook Village Dr, Tyrone, GA 30290-3605 | 2020-08-04 |
| 1134759608 | Southside Aba LLC | Behavioral Analyst | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-01-23 |
| 1538760202 | Adriane Amel | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-08 |
| 1194324384 | Cymbre Davis | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-10-20 |
| 1477152668 | Melissa Miner | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-10-20 |
| 1558960856 | Danielle Edwards | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-10-19 |
| 1053931154 | Virgina Ponton Sack | Behavioral Analyst | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-04-20 |
| 1184256133 | Darla June Pfliger | Behavioral Analyst | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-02-07 |
| 1356848360 | Kp Behaviors Options LLC | Behavioral Analyst | 140 Roscommon Ct, Tyrone, GA 30290-1879 | 2018-04-07 |
| Find all providers in TYRONE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.