Kids Talk Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KIDS TALK THERAPY

Practice address

1113 Town Square CT
Lawrenceville, GA 30046-8379

Phone

(404) 573-3381

NPI assigned

Dec 6, 2019

Last updated

Dec 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edilberto Montenegro

Title

Director

Phone

(678) 898-2055

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1912544156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 TOWN SQUARE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468379",
            "telephone_number": "404-573-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 TOWN SQUARE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468379",
            "telephone_number": "404-573-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS TALK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "MONTENEGRO",
        "authorized_official_first_name": "EDILBERTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-898-2055"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kidspeech, Inc.
• Ramona Kilkenny-Lester, NP
• Austin Yung Kyo Kim

• Speech-Language Pathologist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.