IndividualActive
Athena Ellenburg
NPI 1619550084 · Behavior Technician · Valdosta, GA
Athena Ellenburg is a Behavior Technician provider in Valdosta, GA (NPI 1619550084).
Provider details
- NPI number
- 1619550084
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-20-148801 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3121 N Oak Street Ext
Valdosta, GA 31602-1099
Phone: (800) 832-9419
Fax: (855) 859-1671
Approximate (ZIP-level) locationGet directions
Mailing address
3121 N Oak Street Ext
Valdosta, GA 31602-1099
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2021-05-03
- Certified
- 2021-05-03
Frequently asked questions
- What is Athena Ellenburg's NPI number?
- Athena Ellenburg's National Provider Identifier (NPI) is 1619550084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Athena Ellenburg's specialty?
- Athena Ellenburg is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Athena Ellenburg located?
- Athena Ellenburg's practice location on file with NPPES is 3121 N Oak Street Ext, Valdosta, GA 31602-1099.
- What is Athena Ellenburg's phone number?
- The practice phone number listed in the NPPES registry for Athena Ellenburg is (800) 832-9419.
- Is Athena Ellenburg's NPI active?
- Yes — Athena Ellenburg's NPI (1619550084) is active in the NPPES registry as of the last update on 2021-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.