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

Kimbrelle Davenport

Individual provider Behavior Technician · NPI 1104589845

Kimbrelle Davenport is a Behavior Technician in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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Practice location Address checks out

5163 Roswell Rd
Atlanta, GA 30342-2206
Phone: (404) 966-8524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-184964 (GA)

Record details

NPI number1104589845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021
Mailing address2894 3rd Ave Sw, Atlanta, GA 30315-8926

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