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

Kim Shepherd

Individual provider Behavior Technician · NPI 1730890518

Kim Shepherd is a Behavior Technician in Lawrenceville, Georgia. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

360 Wayside Dr
Lawrenceville, GA 30046-5966
Phone: (770) 990-0041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1730890518
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address360 Wayside Dr, Lawrenceville, GA 30046-5966

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