ARIEL KAITLYN PETRAKOVICH (NPI# 1275006652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275006652 |
| Entity Type | Individual |
| Full Name | ARIEL KAITLYN PETRAKOVICH |
| Practice Address |
6505 Shiloh Road Suite 100 Alpharetta GA 30005 |
| Practice Telephone | 7707540085 |
| Practice Fax Number | 7707549288 |
| Mailing Telephone | 7707540085 |
| Mailing Fax Number | 7707549288 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-10-03 |
| NPI Deactivation Date | 09/23/2019 |
| NPI Reactivation Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-38197 | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
6505 SHILOH ROAD SUITE 100 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| 1114349347 | Nichole Barthold | Registered Nurse | 3400a Old Milton Pkwy, Suite 330, Alpharetta, GA 30005 | 2014-01-07 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332850 | Cierra Matthews | Behavioral Analyst | 3574 Old Milton Pkwy, Alpharetta, GA 30005-4465 | 2020-06-28 |
| 1316563216 | Janae Jazmeen Miller | Behavioral Analyst | 165 Shoreline Walk, Alpharetta, GA 30022-7639 | 2020-06-17 |
| 1437771268 | Hannah Claire Parmer | Behavioral Analyst | 1735 Victorian Ct, Alpharetta, GA 30005-6443 | 2020-05-14 |
| 1538792163 | Adrienne R Melnyk | Behavioral Analyst | 1925 Overland Xing, Alpharetta, GA 30004-7875 | 2020-02-21 |
| 1720628555 | Minah Yacher | Behavioral Analyst | 4790 Hastings Ter, Alpharetta, GA 30005-1634 | 2020-01-09 |
| 1043611080 | Videsha Marya | Behavioral Analyst | 11316 Musette Cir, Alpharetta, GA 30009-2127 | 2014-09-09 |
| 1619376654 | Feed The Kids Inc | Behavioral Analyst | 270 Davenham Ct, Alpharetta, GA 30005-8985 | 2014-08-15 |
| 1215347950 | Simona Daniela Akcin | Behavioral Analyst | 1031 Cambridge Sq, Suite F, Alpharetta, GA 30009-1869 | 2014-05-03 |
| 1801174602 | Laurie Prince | Behavioral Analyst | 345 Majestic Cv, Alpharetta, GA 30004-4568 | 2011-07-27 |
| 1487895637 | Sandra Rivers | Behavioral Analyst | 6505 Shiloh Rd, Ste 100, Alpharetta, GA 30005-8405 | 2009-03-18 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on ARIEL KAITLYN PETRAKOVICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.