Individual
KIMBERLY DALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
730 PEACHTREE ST NE STE 570, ATLANTA, GA 30308-1244
(877) 733-7033
Mailing address
372 KING VLG, BRASELTON, GA 30517-3577
(229) 444-9940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70617
GA
106S00000X
Behavior Technician
RBT-21-192485
GA
Other
Enumeration date
11/12/2021
Last updated
05/15/2026
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