NPI 1629558267 · live from the CMS NPI Registry
Kelsey Santangelo Agresta, BCBA
Behavior Analyst in Sandy Springs, GA. National Provider Identifier 1629558267, active.
NPI record
| NPI | 1629558267 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5163 Roswell Rd, Sandy Springs, GA 30342 |
| Practice phone | 877-288-4760 |
| Enumerated | August 14, 2018 |
| Last updated | February 1, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-19-34758 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.