Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khadiesha Statum, RBT

Individual provider Behavior Technician · NPI 1225608367

Khadiesha Statum, RBT is a Behavior Technician in Alpharetta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645
Phone: (678) 648-7644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-165427 (GA)

Record details

NPI number1225608367
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645

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