Kelsey Marie Fullem, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-339565 Issued in GA

Practice address

4319 S Lee St Ste 200
Buford, GA 30518-5752

Phone

(678) 288-9770

NPI assigned

May 6, 2025

Last updated

Dec 4, 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

Practice roles

Locations

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

• Ebs Children's Therapy- Ga, LLC

  • Speech-Language Pathologist
  • Buford, GA
  • NPI 1326460403
  NPD

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1356130165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CHERRYSTONE WALK",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242379",
            "telephone_number": "706-531-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 S LEE ST STE 200",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185752",
            "telephone_number": "678-288-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLEM",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-24-339565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.