TRISTINA ELLENBURG (NPI# 1730607698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730607698 |
| Entity Type | Individual |
| Full Name | TRISTINA ELLENBURG |
| Credential | BCBA |
| Practice Address |
17 Caledon Ct Ste B Greenville SC 29615-3170 |
| Mailing Address |
181 W Professional Park Ct Ste 1 Bowling Green KY 42104-3250 |
| Practice Telephone | 8646312084 |
| Practice Fax Number | 8039054431 |
| Mailing Telephone | 2707779283 |
| Mailing Fax Number | 2707779283 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-26378 | SC | Behavioral Health & Social Service Providers |
| Street Address |
17 CALEDON CT STE B |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504893 | Gynger Miller | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2019-12-05 |
| 1205478153 | Zachary Bumgarner | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2019-10-11 |
| 1255815510 | Taylor Costanza | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2018-09-21 |
| 1720562275 | Lauren Dippre | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2018-09-20 |
| 1033693593 | Emily Colson | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2018-09-20 |
| 1013400415 | Lidya Seife | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2018-06-11 |
| 1043702582 | Olivia Katrosh | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2018-05-31 |
| 1487145132 | Gina Gambone | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2018-05-29 |
| 1194216051 | Briana Davis | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2018-05-25 |
| 1457841652 | William Gingery | Behavior Technician | 17 Caledon Ct Ste B, Greenville, SC 29615-3170 | 2018-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| 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 |
|---|---|---|---|---|
| 1528681251 | Spectrum Aba | Behavioral Analyst | 19 Spring Falls Ct, Greenville, SC 29607-7101 | 2020-05-28 |
| 1124652599 | Meghan Barnes Granger | Behavioral Analyst | 25 Sweetbriar Rd Ste 2a, Greenville, SC 29615-1459 | 2020-02-25 |
| 1699200832 | Functional Skills Aba, LLC | Behavioral Analyst | 9 Wollaston Dr, Greenville, SC 29617-7943 | 2017-04-25 |
| 1356894281 | Jessica Del Carmen Garcia | Behavioral Analyst | 1100 Red Banks Rd, Greenville, NC 27858-5205 | 2016-07-27 |
| 1225441132 | Bryanne V Dembisky | Behavioral Analyst | 113 Whitsett St, Greenville, SC 29601-3138 | 2014-06-09 |
| 1972926483 | Briana Foley | Behavioral Analyst | 7 Mckenna Commons Ct, Greenville, SC 29615-2633 | 2014-02-04 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1205448933 | Kessia Steliga | Behavioral Analyst | 7 Mckenna Commons Ct, Greenville, SC 29615-2633 | 2020-08-24 |
| 1518584390 | Meredith Sicko | Behavioral Analyst | 7 Mckenna Commons Ct, Greenville, SC 29615-2633 | 2020-06-29 |
| 1164048617 | Anna Marie Borders | Behavioral Analyst | 511 W Butler Rd, Greenville, SC 29607-4890 | 2020-06-21 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on TRISTINA ELLENBURG.
| 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.