Individual provider Active NPI

Man Fung Kantzer, PHD., BCBA-D

  • Behavior Analyst
  • Duluth, GA
National Provider Identifier
1730694332
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-15801 Issued in NU
Practice address
4375 River Green Pkwy Ste 150
Duluth, GA 30096-8319
Phone
(770) 882-0848
NPI assigned
Dec 5, 2017
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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 1-14-15801 NU Primary

Addresses

Primary practice location

4375 River Green Pkwy Ste 150
Duluth, GA 30096-8319

Mailing address

5350 Jess Britt CT
Cumming, GA 30040-9555

Other practice location 1

669 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (943) 202-3634

Other names 1

  • Man Fung Lam Former name

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Behavioral Consulting, LLC Behavior Analyst Current Accepting new patients
Elliston LLC Behavior Analyst Past Accepting new patients

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1730694332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 JESS BRITT CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 RIVER GREEN PKWY STE 150",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968319",
            "telephone_number": "770-882-0848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "669 Lanier Park Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012059",
            "country_code": "US",
            "telephone_number": "943-202-3634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTZER",
        "first_name": "MAN FUNG",
        "credential": "PHD., BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-14-15801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAN FUNG",
            "last_name": "LAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.