Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417669771 Individual Practitioner Male Practitioner

Kevin Siegel , BCBA

Behavior Analyst • Canton, GA

Professional Overview & Biography Verified Profile Summary

Kevin Siegel, BCBA is a registered healthcare professional specializing in Behavior Analyst in Canton, GA. Practice services are available at 535 RIVERSTONE PKWY STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

535 Riverstone Pkwy Ste 101

Canton, GA 301142566

Telephone 4708633090
Associated Practice Facility / Clinic
🏢 Florida Autism Center Facility NPI 1245899574

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Canton, GA (2715 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sommer Clifton

Behavior Technician

NPI 1003765561
Julia Dibiccari

Behavior Technician

NPI 1053247643
Tera Banks

Behavior Technician

NPI 1053989418
Caran Mcfarlane

Behavior Technician

NPI 1073198826
Mary Meyer

Behavior Analyst

NPI 1093302705
Allison Dillon

Behavior Analyst

NPI 1104324201

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 16, 2025

Registered at 535 RIVERSTONE PKWY STE 101, CANTON, GA 301142566 (Tel: 4708633090)

📍
Updated Business Mailing Address July 16, 2025

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 4078077798)

👤
Provider Name / Credentials Updated July 16, 2025

Recorded as KEVIN SIEGEL, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2025

Behavior Analyst

NPI Profile Active December 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2022

Registered at 3330 CHASTAIN MEADOWS PKWY NW STE 200, KENNESAW, GA 301445881 (Tel: 6786487644)

📍
Updated Business Mailing Address December 19, 2022

Registered at 2058 KINRIDGE TRL, MARIETTA, GA 300621828

👤
Provider Name / Credentials Updated December 19, 2022

Recorded as KEVIN SIEGEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2022

Behavior Technician (License #RBT-20-142332 in GA)

🟢
Initial NPI Registration & Enumeration December 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417669771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2022
Last Update: July 16, 2025
Sole Proprietor: Yes

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 4078077798

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.