Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mia Moenae Ellis

Individual provider Behavior Analyst · NPI 1659168532

Mia Moenae Ellis is a Behavior Analyst in Marietta, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

137 Johnson Ferry Rd Ste 2170
Marietta, GA 30068-4948
Phone: (470) 648-0510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1659168532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address137 Johnson Ferry Rd Ste 2170, Marietta, GA 30068-4948

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