Organization Active NPI

Kaizen Strategic Group

  • Behavior Analyst
  • Lithonia, GA
National Provider Identifier
1982352928
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KAIZEN STRATEGIC GROUP
Practice address
3072 Evans Mill Rd
Lithonia, GA 30038-2418
Phone
(770) 401-8114
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Kolby Terrelonge
Title
Ceo
Phone
(770) 401-8114

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Occupational Health ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0100X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3072 Evans Mill Rd
Lithonia, GA 30038-2418

Mailing address

3072 Evans Mill Rd
Lithonia, GA 30038-2418
Phone (770) 401-8114

Other practice location 1

3072 Evans Mill Rd
Lithonia, GA 30038-2418
Phone (770) 401-8114

Other practice location 2

3072 Evans Mill Rd
Lithonia, GA 30038-2418
Phone (770) 401-8114

Other practice location 3

3072 Evans Mill Rd
Lithonia, GA 30038-2418
Phone (770) 401-8114

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kaizenstrat@gmail.com

National Provider Directory

National Provider Directory

Locations

3072 Evans Mill Rd
Lithonia, GA 30038
Phone (770) 401-8114

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1982352928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 EVANS MILL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382418",
            "telephone_number": "770-401-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 EVANS MILL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382418",
            "telephone_number": "770-401-8114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3072 Evans Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300382418",
            "country_code": "US",
            "telephone_number": "770-401-8114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3072 Evans Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300382418",
            "country_code": "US",
            "telephone_number": "770-401-8114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3072 Evans Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300382418",
            "country_code": "US",
            "telephone_number": "770-401-8114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAIZEN STRATEGIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "TERRELONGE",
        "authorized_official_first_name": "KOLBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-401-8114"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kaizenstrat@gmail.com",
            "affiliation": "N",
            "address_1": "3072 Evans Mill Rd",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300382418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.