Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tristina Marie Ellenburg, MS, BCBA, COBA, LBA

Individual provider Behavior Analyst · NPI 1730607698

Tristina Marie Ellenburg, MS, BCBA, COBA, LBA is a Behavior Analyst in Newnan, Georgia. Licensed in Kentucky and Ohio. Registered with an NPI since 2017.

Licensed in
KY, OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

2147 Newnan Crossing Blvd E
Newnan, GA 30265-2406
Phone: (470) 241-1408
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-17-26378
Behavior Analyst Taxonomy 103K00000X · Licence 267579 (KY)
Behavior Analyst Taxonomy 103K00000X · Licence COBA.00590 (OH)

Record details

NPI number1730607698
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , BCBA , COBA , LBA
Sole proprietorNo
NPI enumeratedAugust 31, 2017
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

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