Individual provider Active NPI

Kyrah Manea Fife

  • Behavior Technician
  • Alpharetta, GA
National Provider Identifier
1346962933
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-242892 Issued in GA
Practice address
3225 N Point Pkwy Ste 202
Alpharetta, GA 30005-4725
Phone
(470) 682-3536
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MD
Behavior Technician 106S00000X RBT-22-242892 GA Primary

Addresses

Primary practice location

3225 N Point Pkwy Ste 202
Alpharetta, GA 30005-4725

Mailing address

3225 N Point Pkwy Ste 202
Alpharetta, GA 30005-4725
Phone (470) 682-3536

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

LicenseStateTypeSpecialty
RBT-22-242892GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The Anderson Centers, Inc CurrentSince Jan 26, 2025 Accepting new patients
Ally Behavior LLC PastSince Jul 31, 2023 Accepting new patients
Ally Behavior LLC PastSince Sep 1, 2022 Accepting new patients

Locations

3225 North Point Pkwy
Ste 202
Alpharetta, GA 30005
Phone (470) 682-3536

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1346962933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N POINT PKWY STE 202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054725",
            "telephone_number": "470-682-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N POINT PKWY STE 202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054725",
            "telephone_number": "470-682-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFE",
        "first_name": "KYRAH",
        "middle_name": "MANEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-22-242892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.