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Deactivated NPI 1588181879 Deactivated / Inactive NPI Male Practitioner

Greg Sietsema

Behavior Analyst • Valdosta, 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, Greg Sietsema has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2017
NPI Deactivation Date March 15, 2019
Total Practice Duration ~2 Years of Practice (2017 – 2019)

Professional Overview & Biography Verified Profile Summary

Greg Sietsema was a registered Behavior Analyst practicing in Valdosta, GA. Throughout an active medical career spanning 2 years, Greg Sietsema provided care at the practice location at 2225 BEMISS RD STE D until profile deactivation on 2019-03-15.

Practice Location & Contact Primary Location

Practice Address

2225 Bemiss Rd Ste D

Valdosta, GA 316024819

Telephone 8008329419
Fax 8558591671
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Valdosta, GA

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

Practicing in Valdosta, 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License GA RBT-15-10730

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
Kayla Caldwell

Behavior Technician

NPI 1003655002
Z' Mya Thompson

Behavior Technician

NPI 1003743261
Lisa Eubanks

Behavior Technician

NPI 1013737741
Thalia Jones

Behavior Technician

NPI 1013739655
Maylee Bivins , RBT

Behavior Technician

NPI 1013771567

Registered Behavior Technician

Nikole Martinez

Behavior Technician

NPI 1023763851

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 15, 2019

Record deactivated on March 15, 2019

NPI Profile Active August 28, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 28, 2017

Registered at 2225 BEMISS RD STE D, VALDOSTA, GA 316024819 (Tel: 8008329419)

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Updated Business Mailing Address August 28, 2017

Registered at 2225 BEMISS RD STE D, VALDOSTA, GA 316024819

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Provider Name / Credentials Updated August 28, 2017

Recorded as GREG SIETSEMA

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2017

Behavior Analyst (License #RBT-15-10730 in GA)

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Initial NPI Registration & Enumeration August 28, 2017

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: 1588181879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2017
Last Update: August 28, 2017
Deactivation Date: March 15, 2019

Mailing Address

2225 Bemiss Rd Ste D

Valdosta, GA 316024819

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.