Individual
BRYANA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1356 BLUEGRAS LKS PKWY, ALPHARETTA, GA 30004-3395
(678) 486-1911
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71401
GA
106S00000X
Behavior Technician
RBT-21-176728
GA
Other
Enumeration date
10/14/2021
Last updated
09/17/2025
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