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

Tamicia Destiny Ellison

Individual provider Behavior Technician · NPI 1053054262

Tamicia Destiny Ellison is a Behavior Technician in Lawrenceville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

833 Hurricane Shoals Rd NE
Lawrenceville, GA 30043-4821
Phone: (833) 628-8476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1053054262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022
Mailing address2802 Hidden Forest Ct Se, Atlanta, GA 30316-4216

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