Active NPI
Kathryn Marie Peterson, PHD
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1598039422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1095639
- Practice address
- 1920 Briarcliff Rd NE
Atlanta, GA 30329-4010 - Phone
- (404) 785-9400
- NPI assigned
- Feb 23, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-09-5639 | NJ | |
| Behavior Analyst | 103K00000X | 1-09-5639 | PA | |
| Behavior Analyst | 103K00000X | 1095639 | PA | Primary |
Addresses
Primary practice location
1920 Briarcliff Rd NE
Atlanta, GA 30329-4010
Mailing address
1920 Briarcliff Rd NE
Atlanta, GA 30329-4010
Phone (404) 785-9400
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1095639 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childhood Autism Services Inc | Behavior Analyst | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- La Vista, NE
- NPI 1730473117
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1598039422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 BRIARCLIFF RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294010",
"telephone_number": "404-785-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 BRIARCLIFF RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294010",
"telephone_number": "404-785-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-09-5639",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-09-5639",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1095639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.