Kelsey Santangelo Agresta, BCBA
Individual provider Active NPI Behavior Analyst · Sandy Springs, GA
NPI 1629558267 · NPPES record last updated Feb 1, 2023
Key facts
- NPI
- 1629558267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-19-34758 (GA)
- Practice address
- 5163 Roswell Rd
Sandy Springs, GA 30342-2206 - Phone
- (877) 288-4760
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dogwood Autism Services, LLC | Behavior Analyst | Current |
Accepting new patients |
Locations
4080 McGinnis Ferry Rd
Ste 301
Alpharetta, GA 30005
Phone (770) 545-5420
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
1565 Highway 34 E
Newnan, GA 30265
Phone (470) 241-1408
1575 Highway 34 E
Newnan, GA 30265
Phone (770) 252-5276
1275 Minhinette Dr
Roswell, GA 30075
Phone (877) 288-4706
5163 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 602-9523
585 Molly Ln
Woodstock, GA 30189
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-34758 | GA | Yes |
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
Other providers in Sandy Springs, GA
- Advanced Recovery Systems, LLC
- Advanced Therapeutics Int'L LLC
- Aegis Group Practice LLC
- Aesthetic Solutions Center LLC
- Afc Physicians of Georgia, PC
- Narimaan Ahmadi
- Fatuma Mohamed Ahmed
- Aidby Inc
- Ajueyitsi Holdings Inc
- Maya Akbik
All providers in Sandy Springs, GA · Behavior Analyst in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.