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

Individual provider Behavior Technician · NPI 1710594049

Michelle Lynae Ellis, BA, RBT is a Behavior Technician in Ponte Vedra Beach, Florida. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

130 Corridor Rd Unit 3929
Ponte Vedra Beach, FL 32004-7850
Phone: (254) 383-5991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904-4559 — (762) 239-0017

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-20-133340 (GA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1710594049
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , RBT
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESMay 20, 2022
Certification dateMay 5, 2022

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