Anne Kennedy, M.A, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25307

Practice address

126 Pavilion Pkwy
Fayetteville, GA 30214-4056

Phone

(770) 954-8988

Fax

(317) 520-8200

NPI assigned

Nov 17, 2010

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

Practice roles

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.

• Kennedy Behavior Consulting, PLLC

  • Behavior Analyst
  • Heber City, UT
  • NPI 1336836220
  NPD Authorized official

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1669774063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 E 1730 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840972219",
            "telephone_number": "385-424-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PAVILION PKWY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144056",
            "telephone_number": "770-954-8988",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9350 S 150 E",
            "address_2": "Suite 850",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840702702",
            "country_code": "US",
            "telephone_number": "801-230-0477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ANNE",
        "credential": "M.A, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-25307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Kelley, NP-C
• Ashlei Henderson Kelly, PT, DPT
• Louise Kelly, LAPC
• Jeffery Alan Kendrick, D.M.D.
• Shanithia Kendrick, LPC
• Callie Kennedy
• Danna-Grace Kennedy, PA
• Dominique Yvette Kennedy, SLP
• Gary Martin Kennedy
• Kristi Lynn Kennedy, RRT

• Behavior Analyst in Fayetteville, GA
• Providers in Fayetteville, 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 18, 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.

Verify at the official NPI Registry.