TRISTINA MARIE ELLENBURG MS, BCBA, COBA, LBA
NPI 1730607698
Behavior Analyst in Newnan, GA
NPI Status: Active since August 31, 2017
Contact Information
2147 NEWNAN CROSSING BLVD E
NEWNAN, GA
ZIP 30265
Phone: (470) 241-1408
Fax: (317) 520-8200
- Individual
- Female
- Behavior Analyst
- Accepts Insurance
About TRISTINA ELLENBURG
This page provides the complete NPI Profile along with additional information for Tristina Ellenburg, a provider established in Newnan, Georgia with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1730607698 assigned on August 2017. The practitioner's primary taxonomy code is 103K00000X with license number 1-17-26378 (). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1730607698
- Provider Name
- TRISTINA MARIE ELLENBURG MS, BCBA, COBA, LBA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265
- Location Phone
- (470) 241-1408
- Location Fax
- (317) 520-8200
- Mailing Address
- 3500 DEPAUW BLVD STE 3070 INDIANAPOLIS, IN 46268
- Mailing Phone
- (855) 324-0885
- Mailing Fax
- (317) 520-8200
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2017
- Last Update Date
- 12-14-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1-17-26378
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | 267579 (KY) |
| 2 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | COBA.00590 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Connect Bronze 3800 Indiv Med Deductible - EPO
- Connect Bronze 7000 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 8550 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3000 Indiv Med Deductible - EPO
- Connect Silver 7000 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1-17-26378 | OTHER (01) | BCBA CERTIFICATE |
Reviews for TRISTINA MARIE ELLENBURG MS, BCBA, COBA, LBA
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 3 | 0 | 6 | 0 | 7 | 6 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 12 | 0 | 14 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 1 + 2 + 0 + 1 + 4 + 6 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1730607698 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609477694 | ELIZABETH COBB RBT Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1184226185 | CAROLYNN PIERCE RBT Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1023611738 | SHERITA GOLDSMITH RBT Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1952904039 | ASHLEE GIPSON RBT, BS Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1205425543 | LATONIA PERSON RBT Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1174116958 | ASHTON GUILLARD RBT Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1962076125 | PHILIP WARREN Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1114592052 | NADJUMA JEAN-SIMON RBT Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1548935422 | SHAKIRA BREWER RBT Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1861167744 | NYASIA MCNEAL RBT Individual | Behavior Technician | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
| 1033701198 | WHITLEY HOLCOMB RBT Individual | Behavior Analyst | 2147 NEWNAN CROSSING BLVD E NEWNAN, GA 30265 (470) 241-1408 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730607698, enumerated in the NPI registry as an "individual" on August 31, 2017
The provider is located at 2147 Newnan Crossing Blvd E Newnan, Ga 30265 and the phone number is (470) 241-1408
The provider's speciality is Behavior Analyst with taxonomy code 103K00000X
The provider might be accepting Accepts: CareSource, Cigna Healthcare, Cigna HealthCare of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 31, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.