Tristina Marie Ellenburg, MS, BCBA, COBA, LBA
NPI 1730607698ActiveIndividual· Behavior Analyst· Newnan, GA
Behavior Analyst (MS, BCBA, COBA, LBA) in Newnan, Georgia, licensed in KY and OH, with an NPI issued in August 2017.
Overview
| NPI | 1730607698 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, BCBA, COBA, LBA |
| Sole proprietor | No |
| NPI issued | Aug 31, 2017 |
| Last updated in NPPES | Dec 14, 2020 |
| Certified by provider | Dec 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-17-26378 | — |
| Behavior Analyst | 103K00000X | 267579 | KY |
| Behavior Analyst | 103K00000X | COBA.00590 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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