Healthcare Provider Details

I. General information

NPI: 1033047238
Provider Name (Legal Business Name): KATELYN FEINSMITH RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HEMBREE RD STE 100
ROSWELL GA
30076-5716
US

IV. Provider business mailing address

3221 WYNCROFT PL
PEACHTREE CORNERS GA
30071-4754
US

V. Phone/Fax

Practice location:
  • Phone: 770-230-6221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-517499
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: