Individual provider Active NPI

Amanda Pisoni

  • Behavior Analyst
  • Sandy Springs, GA
National Provider Identifier
1619460847
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401002355 Issued in MI
Practice address
5163 Roswell Rd
Sandy Springs, GA 30342-2206
Phone
(877) 288-4760
NPI assigned
Jun 12, 2018
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7401002355 MI Primary

Addresses

Primary practice location

5163 Roswell Rd
Sandy Springs, GA 30342-2206

Mailing address

5163 Roswell Rd
Sandy Springs, GA 30342-2206
Phone (877) 288-4760

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

LicenseStateTypeSpecialty
7401002355MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Dogwood Autism Services, LLC Behavior Analyst CurrentSince Aug 17, 2025 Accepting new patients
Trac Autism Center Inc. Behavior Analyst PastSince Jun 1, 2024 Accepting new patients

Locations

4080 McGinnis Ferry Rd
Ste 301
Alpharetta, GA 30005
Phone (678) 710-2324

5280 Snapfinger Park Dr
Decatur, GA 30035
Phone (404) 823-7743

3136 Golf Ridge Blvd
Douglasville, GA 30135
Phone (870) 288-4760

1777 Washington Rd
East Point, GA 30344
Phone (404) 892-0998

1275 Minhinette Dr
Roswell, GA 30075
Phone (877) 288-4706

5163 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 753-5598

585 Molly Ln
Woodstock, GA 30189

Organizations & group practices 2

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1619460847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5163 ROSWELL RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303422206",
            "telephone_number": "877-288-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5163 ROSWELL RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303422206",
            "telephone_number": "877-288-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISONI",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.