NPI 1053632026 · live from the CMS NPI Registry
Kelly A Alitto, MA
Behavior Analyst in Peachtree Corners, GA. National Provider Identifier 1053632026, active.
NPI record
| NPI | 1053632026 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6450 Spalding Dr Ste B, Peachtree Corners, GA 30092 |
| Practice phone | 833-628-8476 |
| Mailing address | 833 Hurricane Shoals Rd Ne, Lawrenceville, GA 30043 |
| Enumerated | June 14, 2010 |
| Last updated | January 12, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst primary | 103K00000X | 1-10-7611 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.