Active NPI
Kimberly Dallaway, BCBA
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1811653918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-70617
- Practice address
- 730 Peachtree St NE Ste 570
Atlanta, GA 30308-1244 - Phone
- (877) 733-7033
- NPI assigned
- Nov 12, 2021
- Last updated
- May 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-70617 | GA | Primary |
| Behavior Technician | 106S00000X | RBT-21-192485 | GA |
Addresses
Primary practice location
730 Peachtree St NE Ste 570
Atlanta, GA 30308-1244
Mailing address
372 King VLG
Braselton, GA 30517-3577
Phone (229) 444-9940
Other practice location 1
372 King Vlg
Braselton, GA 30517-3577
Phone (122) 944-4994
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-192485 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Groundwork Behavioral Solutions LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Groundwork ABA
- Behavior Analyst
- Braselton, GA
- NPI 1801683545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1811653918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 KING VLG",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305173577",
"telephone_number": "229-444-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 PEACHTREE ST NE STE 570",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081244",
"telephone_number": "877-733-7033"
}
],
"practiceLocations": [
{
"address_1": "372 King Vlg",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305173577",
"country_code": "US",
"telephone_number": "122-944-4994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALLAWAY",
"first_name": "KIMBERLY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-24-70617",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-21-192485",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.