KIZZY GIBBS MEDLEY RBT
NPI 1619584901
Behavior Technician in Fayetteville, GA

Q: What is Kizzy Medley's NPI number?

The NPI number for Kizzy Medley is 1619584901. It was assigned to this individual provider in the NPPES registry on September 30, 2020. The provider is also known as Kizzy Earlena Gibbs.

Q: What is Kizzy Medley's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Kizzy Medley was last updated on September 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 30, 2020

126 PAVILION PKWY, FAYETTEVILLE, GA 30214(770) 954-8988(317) 520-8200 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kizzy Gibbs Medley Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIZZY GIBBS MEDLEY RBT (NPI 1619584901) is an individual behavior technician in Fayetteville, Georgia, licensed in Georgia (RBT-20-131469) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1619584901

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameKIZZY GIBBS MEDLEYCredential: RBT

Location Address126 PAVILION PKWYFayetteville, GA 30214-4056

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(770) 954-8988

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateSeptember 30, 2020

NPPES CertifiedSeptember 30, 2020

✔ NPI 1619584901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

License✔ Licensed in GA · RBT-20-131469

Definition

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.

126 PAVILION PKWY, Fayetteville, GA 30214

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Other Names 1

Former Name (1)Kizzy Earlena Gibbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOPEBRIDGE, LLC

Psychiatry & Neurology (Child & Adolescent Psychiatry)