Individual
DR. KIRSTEN S RAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, NCSP, BCBA
Contact information
Practice address
2964 PEACHTREE RD NW STE 324, ATLANTA, GA 30305-2120
(770) 953-4744
Mailing address
3433 N DRUID HILLS RD APT G, DECATUR, GA 30033-3720
(828) 228-1176
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY004511
GA
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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