Kindnest Behavioral Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KINDNEST BEHAVIORAL SERVICES LLC

Practice address

1413 Barrett Bluff Cir
Lawrenceville, GA 30045-7008

Phone

(470) 336-2836

NPI assigned

Apr 24, 2025

Organization subpart

No

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

Authorized official

Name

Ai-Iana Masadykova

Title

Owner

Phone

(470) 336-2836

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1679360408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 BARRETT BLUFF CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 BARRETT BLUFF CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457008",
            "telephone_number": "470-336-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDNEST BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "MASADYKOVA",
        "authorized_official_first_name": "AI-IANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-336-2836"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lawrenceville, GA
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.