Individual provider · NPI-1
Lyndi Ellison, BCBA
Behavior Analyst · Buford, GA
NPI number1912894015
StatusActive
Last updated in NPPESOct 7, 2026
Details
- NPI
- 1912894015
- Entity type
- Individual (NPI-1)
- Name
- Lyndi Ellison
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2025
- Certification date
- Oct 7, 2026
- Last updated
- Oct 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-25-82090 | GA | Yes |
Practice location
5328 Lanier Islands Pkwy Unit 101Buford, GA 30518-9071
Phone 470-655-1970
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone 407-807-7798
Other practice locations
6385 Mcginnis Ferry Rd Ste 202
Johns Creek, GA 30005-3672
Johns Creek, GA 30005-3672
Phone 470-508-9575
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