Active NPI
Kelly Ochu
- Behavior Technician
- Stone MTN, GA
National Provider Identifier
1356155394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-331930
- Practice address
- 5140 Memorial Dr
Stone MTN, GA 30083-3111 - Phone
- (404) 983-0458
- NPI assigned
- Feb 1, 2025
- Last updated
- Feb 1, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-331930 | GA | Primary |
Addresses
Primary practice location
5140 Memorial Dr
Stone MTN, GA 30083-3111
Mailing address
4045 Five Forks Trickum Rd SW # D17-124
Lilburn, GA 30047-2538
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-24-331930 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solid Foundation Christian Academy | Current | Accepting new patients |
Locations
4045 Five Forks Trickum Rd SW
#D17124
Lilburn, GA 30047
5140 Memorial Dr
Stone Mtn, GA 30083
Phone (404) 983-0458
Organizations & group practices 1
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.
-
dba Solid Foundation
- Adolescent and Children Mental Health Clinic/Center
- Stone Mountain, GA
- NPI 1003630237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738368000000",
"number": "1356155394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 FIVE FORKS TRICKUM RD SW # D17-124",
"city": "LILBURN",
"state": "GA",
"postal_code": "300472538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 MEMORIAL DR",
"city": "STONE MTN",
"state": "GA",
"postal_code": "300833111",
"telephone_number": "404-983-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHU",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-01",
"last_updated": "2025-02-01",
"certification_date": "2025-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-24-331930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone MTN, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.