Kelsey Gilbreath
Behavior Technician in Dallas, GA. Individual provider (NPI-1).
NPI number1053108084
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1053108084
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Gilbreath
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2025
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
296 Merchants SqDallas, GA 30132-5029
Phone 470-391-2300
Mailing address
6 Ansley Way NwCartersville, GA 30121-7300
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 119 Behavior Technician providers in Dallas · All 1,029 providers in Dallas
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