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Anne Kennedy , MA, BCBA

Behavior Analyst β€’ Fayetteville, GA

Active NPI 1669774063 Individual Practitioner Female Practitioner
Practice location in NPPES

126 Pavilion Pkwy
Fayetteville, GA 302144056

Call 7709548988 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

126 Pavilion Pkwy

Fayetteville, GA 302144056

Telephone 7709548988
Fax 3175208200
Organization at the Same NPPES Address or Phone
Hopebridge, Llc Facility NPI 1053872291

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Sandy, UT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fayetteville and Georgia

32 active clinicians are listed under Behavior Analyst with a practice address in Fayetteville, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fayetteville

0% of these 32 clinicians have the CMS telehealth indicator.

0% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES None 1-17-25307

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

9350 S 150 E, Suite 850

Sandy, UT 840702702

Phone: 8012300477

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Jade Grimes

Occupational Therapist

NPI 1144997651

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address February 18, 2026

Registered at 442 E 1730 N, OREM, UT 840972219 (Tel: 3854243187)

πŸ“
Updated Practice Location January 13, 2021

Registered at 126 PAVILION PKWY, FAYETTEVILLE, GA 302144056 (Tel: 7709548988)

πŸ“
Updated Business Mailing Address January 13, 2021

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

πŸ‘€
Provider Name / Credentials Updated January 13, 2021

Recorded as ANNE KENNEDY, M.A, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2021

Behavior Analyst (license number reported to NPPES: None 1-17-25307)

βœ…
NPI Profile Active November 17, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 17, 2010

Registered at 9350 S 150 E, SUITE 850, SANDY, UT 840702702 (Tel: 8012300477)

πŸ“
Business Mailing Address (Initial Record) November 17, 2010

Registered at 9350 S 150 E, SUITE 850, SANDY, UT 840702702

πŸ‘€
Provider Name / Credentials (Initial Record) November 17, 2010

Recorded as ANNE KENNEDY, M.A

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2010

Behavior Analyst (license number reported to NPPES: None #1-10-7454)

🟒
Initial NPI Registration & Enumeration November 17, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669774063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2010
Last Update: February 18, 2026
Sole Proprietor: No

Mailing Address

442 E 1730 N

Orem, UT 840972219

Phone: 3854243187

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.