Individual provider Active NPI

Kayla Alexandria Greene, MS, BCBA

  • Behavior Analyst
  • Brookhaven, GA
National Provider Identifier
1548734429
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33976 Issued in GA
Practice address
3105 Clairmont Rd NE
Brookhaven, GA 30329-1015
Phone
(470) 241-1353
Fax
(317) 520-8200
NPI assigned
Jan 14, 2019
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-33976 GA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

3105 Clairmont Rd NE
Brookhaven, GA 30329-1015

Mailing address

3207 Henderson Mill Rd Apt T4
Atlanta, GA 30341-6019
Phone (352) 246-4640

Other practice location 1

3207 Henderson Mill Rd Apt T4
Atlanta, GA 30341-6019
Phone (352) 246-4640

Other practice location 2

1921 Whittlesey Rd Ste 400
Columbus, GA 31904-9211
Phone (706) 221-9609

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Developmental Group Behavior Analyst CurrentSince Nov 10, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1548734429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 HENDERSON MILL RD APT T4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303416019",
            "telephone_number": "352-246-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CLAIRMONT RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291015",
            "telephone_number": "470-241-1353",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3207 Henderson Mill Rd Apt T4",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303416019",
            "country_code": "US",
            "telephone_number": "352-246-4640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 Whittlesey Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319049211",
            "country_code": "US",
            "telephone_number": "706-221-9609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KAYLA",
        "middle_name": "ALEXANDRIA",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-18-33976",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

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