Active NPI
St Michael Adeniyi
- Behavior Analyst
- Buford, GA
National Provider Identifier
1609727130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3959 Duncan Ives Dr
Buford, GA 30519-7599 - Phone
- (520) 233-0206
- NPI assigned
- Feb 9, 2026
- Sex
- Male
- Sole proprietor
- No
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
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 Analyst | 103K00000X | GA | Primary |
Addresses
Primary practice location
3959 Duncan Ives Dr
Buford, GA 30519-7599
Mailing address
3959 Duncan Ives Dr
Buford, GA 30519-7599
Phone (520) 233-0206
NPI Registry JSON
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1609727130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 DUNCAN IVES DR",
"city": "BUFORD",
"state": "GA",
"postal_code": "305197599",
"telephone_number": "520-233-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 DUNCAN IVES DR",
"city": "BUFORD",
"state": "GA",
"postal_code": "305197599",
"telephone_number": "520-233-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADENIYI",
"first_name": "ST MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.