Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679724520 Individual Practitioner Female Practitioner

Shayla Renee Ellis , MS, BCBA

Behavior Analyst • University Park, FL

Professional Overview & Biography Verified Profile Summary

Shayla Ellis, MS, BCBA is a registered healthcare professional specializing in Behavior Analyst in University Park, FL. Practice services are available at 8027 COOPER CREEK BLVD STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8027 Cooper Creek Blvd Ste 103

University Park, FL 342013002

Telephone 9414772080
Fax 3175208200
Associated Practice Facility / Clinic
🏢 Hopebridge Llc Facility NPI 1700461704

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in University Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
6 Specialists

Practicing in University Park, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-08-4580

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
024004496 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003205543

Master of Arts, Board Certified Behavior Analyst, Licensed Behavior Analyst

Jacob Tonna

Behavior Analyst

NPI 1003222977
NPI 1003313644

Master of Arts, Board Certified Behavior Analyst

NPI 1003337445

Master of Science, Board Certified Behavior Analyst

Karynthia Little

Behavior Analyst

NPI 1003385410
Taylor Caddell , RBT

Behavior Technician

NPI 1003400417

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 20, 2022

Registered at 8027 COOPER CREEK BLVD STE 103, UNIVERSITY PARK, FL 342013002 (Tel: 9414772080)

📍
Updated Business Mailing Address April 20, 2022

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated April 20, 2022

Recorded as SHAYLA ELLIS, MS, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2022

Behavior Analyst (License #1-08-4580 in FL)

👤
Provider Name / Credentials Updated April 15, 2019

Recorded as SHAYLA ELLIS, BCBA

NPI Profile Active March 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2014

Registered at 3190 TYRONE BLVD N, ST PETERSBURG, FL 337102919 (Tel: 7273459111)

📍
Updated Business Mailing Address March 17, 2014

Registered at 3190 TYRONE BLVD N, ST PETERSBURG, FL 337102919 (Tel: 7273459111)

👤
Provider Name / Credentials Updated March 17, 2014

Recorded as SHAYLA WINGFIELD, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2014

Behavior Analyst

🟢
Initial NPI Registration & Enumeration October 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679724520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2008
Last Update: April 20, 2022
Sole Proprietor: No

Mailing Address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 462686135

Phone: 8553240885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.