Active NPI
Presnelie Presendieu, RBT
- Behavior Technician
- Stone Mountain, GA
National Provider Identifier
1750970851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 486 S Malton CT
Stone Mountain, GA 30083-4346 - Phone
- (561) 294-8637
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
486 S Malton CT
Stone Mountain, GA 30083-4346
Mailing address
486 S Malton CT
Stone Mountain, GA 30083-4346
Phone (561) 294-8637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-21-150758 | Other | GA | BACB |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kristin.kearns@keyautismservices.com |
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
Interoperability endpoints
- kristin.kearns@keyautismservices.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1750970851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "486 S MALTON CT",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300834346",
"telephone_number": "561-294-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "486 S MALTON CT",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300834346",
"telephone_number": "561-294-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESENDIEU",
"first_name": "PRESNELIE",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-21-150758",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kristin.kearns@keyautismservices.com",
"affiliation": "N",
"address_1": "8 Faneuil Hall Market Pl Fl 3",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021096114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.