Kimberly Taylor Patrick

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1291728 Issued in GA

Practice address

3993 Lawrenceville Hwy NW Ste 110
Lilburn, GA 30047-2831

Phone

(866) 484-8049

NPI assigned

Aug 5, 2025

Last updated

Aug 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1073497558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10289 BRIARBAY LOOP",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386581",
            "telephone_number": "770-864-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LAWRENCEVILLE HWY NW STE 110",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472831",
            "telephone_number": "866-484-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "KIMBERLY",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "BACB1291728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Komal Patel, PHARMD
• Parija Patel
• Rachna Dhirubhai Patel
• Rajesh Motibhai Patel, MD
• Shital Patel, REGISTERED NURSE
• Paula M Nelson MD (Family Dermatology)
• Carla Payton
• Peachstate Family Clinic, LLC
• Peachtree Spine & Pain Physicians, Inc (Peachtree Spine Physicians, Inc)
• Reginald Demetrius Peek, MD

• Behavior Technician in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.