Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1245929181 Deactivated / Inactive NPI Female Practitioner

Dalisha Quanae Ellis

Behavior Technician • Stockbridge, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dalisha Ellis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 05, 2023
NPI Deactivation Date May 14, 2023
Total Practice Duration ~1 Years of Practice (2023 – 2023)

Professional Overview & Biography Verified Profile Summary

Dalisha Ellis was a registered Behavior Technician practicing in Stockbridge, GA. Throughout an active medical career spanning 1 years, Dalisha Ellis provided care at the practice location at 115 N PARK TRL STE 123 until profile deactivation on 2023-05-14.

Practice Location & Contact Primary Location

Practice Address

115 N Park Trl Ste 123

Stockbridge, GA 302817373

Telephone 4704912050
Associated Practice Facility / Clinic
🏢 Florida Autism Center Facility NPI 1912551730

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Stockbridge, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
204 Specialists

Practicing in Stockbridge, GA (12251 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: 2023-06-06
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Rachael Wilson

Behavior Technician

NPI 1003460379
Denisecia Sessions

Behavior Technician

NPI 1003774829
Aliyah Milner

Behavior Technician

NPI 1013801141
Alexandria Daly

Behavior Technician

NPI 1013887553
James Oskam

Behavior Analyst

NPI 1033660592
Amanda Murrish

Behavior Technician

NPI 1043102429

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Reactivated June 06, 2023

Record officially reactivated for active practice on June 06, 2023

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NPI Profile Deactivated May 14, 2023

Record deactivated on May 14, 2023

NPI Profile Active May 05, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 05, 2023

Registered at 115 N PARK TRL STE 123, STOCKBRIDGE, GA 302817373 (Tel: 4704912050)

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Updated Business Mailing Address May 05, 2023

Registered at 300 INTERNATIONAL PARKWAY, SUITE 200, LAKE MARY, FL 327463625 (Tel: 8666100580)

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Provider Name / Credentials Updated May 05, 2023

Recorded as DALISHA ELLIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2023

Behavior Technician

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Initial NPI Registration & Enumeration May 05, 2023

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: 1245929181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2023
Last Update: June 06, 2023
Deactivation Date: May 14, 2023
Sole Proprietor: No

Mailing Address

300 International Parkway, Suite 200

Lake Mary, FL 327463625

Phone: 8666100580

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.