Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1962984971 Deactivated / Inactive NPI Female Practitioner

Katelyn Datsko

Behavior Analyst • Suwanee, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Katelyn Datsko has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2018
NPI Deactivation Date October 06, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Katelyn Datsko was a registered Behavior Analyst practicing in Suwanee, GA. Throughout an active medical career spanning 1 years, Katelyn Datsko provided care at the practice location at 1630 PEACHTREE INDUSTRIAL BLVD APT 1109 until profile deactivation on 2018-10-06.

Practice Location & Contact Primary Location

Practice Address

1630 Peachtree Industrial Blvd Apt 1109

Suwanee, GA 300245576

Telephone 5868717019

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Suwanee, GA

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

Practicing in Suwanee, 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: 2021-09-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License GA 1-21-52663

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License MI 18-64273

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Career & Practice History Timeline

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

14 Historical Events
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Updated Practice Location September 06, 2021

Registered at 1630 PEACHTREE INDUSTRIAL BLVD APT 1109, SUWANEE, GA 300245576 (Tel: 5868717019)

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Updated Business Mailing Address September 06, 2021

Registered at 1630 PEACHTREE INDUSTRIAL BLVD APT 1109, SUWANEE, GA 300245576 (Tel: 5868717019)

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2021

Behavior Analyst (License #1-21-52663 in GA)

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Updated Practice Location October 14, 2019

Registered at 38247 SANTA BARBARA ST, CLINTON TWP, MI 480364013 (Tel: 5868717019)

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Updated Business Mailing Address October 14, 2019

Registered at 38247 SANTA BARBARA ST, CLINTON TWP, MI 480364013 (Tel: 5868717019)

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Provider Name / Credentials Updated October 14, 2019

Recorded as KATELYN DATSKO

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2019

Behavior Technician (License #18-64273 in MI)

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NPI Profile Deactivated October 06, 2018

Record deactivated on October 06, 2018

NPI Profile Active September 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2018

Registered at 38247 SANTA BARBARA ST, CLINTON TWP, MI 480364013 (Tel: 5868717019)

📍
Updated Business Mailing Address September 06, 2018

Registered at 38247 SANTA BARBARA ST, CLINTON TWP, MI 480364013 (Tel: 5868717019)

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Provider Name / Credentials Updated September 06, 2018

Recorded as KATELYN DATSKO

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2018

Behavior Technician (License #18-64273 in MI)

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Initial NPI Registration & Enumeration September 06, 2018

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: 1962984971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2018
Last Update: September 06, 2021
Deactivation Date: October 06, 2018
Sole Proprietor: Yes

Mailing Address

1630 Peachtree Industrial Blvd Apt 1109

Suwanee, GA 300245576

Phone: 5868717019

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.