Active NPI
Kelsey Dicaprio
- Behavior Analyst
- Marietta, GA
National Provider Identifier
1154905792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-70532
- Practice address
- 690 Village Trce NE BLDG 21
Marietta, GA 30067-1513 - Phone
- (770) 609-8777
- NPI assigned
- May 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-118222 | SC | |
| Behavior Analyst | 103K00000X | 1-24-70532 | GA | Primary |
Addresses
Primary practice location
690 Village Trce NE BLDG 21
Marietta, GA 30067-1513
Mailing address
180 Jackson St NE Apt 7408
Atlanta, GA 30312-7907
Phone (518) 796-9549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-118222 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1154905792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 JACKSON ST NE APT 7408",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303127907",
"telephone_number": "518-796-9549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 VILLAGE TRCE NE BLDG 21",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300671513",
"telephone_number": "770-609-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICAPRIO",
"first_name": "KELSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "RBT-20-118222",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-24-70532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.