Kelsey Santangelo Agresta, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-34758 Issued in GA

Practice address

5163 Roswell Rd
Sandy Springs, GA 30342-2206

Phone

(877) 288-4760

NPI assigned

Aug 14, 2018

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Dogwood Autism Services, LLC

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1437674587
  NPD

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1629558267",
    "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": "AGRESTA",
        "first_name": "KELSEY",
        "middle_name": "SANTANGELO",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-19-34758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Recovery Systems, LLC (The Recovery Village Atlanta Outpatient Center)
• Advanced Therapeutics Int'L LLC (PSS Injury & Wellness Center)
• Aegis Group Practice LLC
• Aesthetic Solutions Center LLC (Atlanta Institute for Facial Aesthetic Surgery)
• Afc Physicians of Georgia, PC
• Narimaan Ahmadi, DMD
• Fatuma Mohamed Ahmed
• Aidby Inc
• Ajueyitsi Holdings Inc (D&B)
• Maya Akbik

• Behavior Analyst in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.