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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BERSABELL HIRUT WOLDETSADIK
NPI 1629885124
Behavior Analyst in Lawrenceville, GA

Active since December 17, 2024
622 AUTUMN SHORE DR, LAWRENCEVILLE, GA 30044(770) 865-4954 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bersabell Hirut Woldetsadik NPPES

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

BERSABELL HIRUT WOLDETSADIK (NPI 1629885124) is an individual behavior analyst provider in Lawrenceville, Georgia and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1629885124
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameBERSABELL HIRUT WOLDETSADIK
Location Address622 AUTUMN SHORE DRLawrenceville, GA 30044-7428
Mailing Address622 Autumn Shore DrLawrenceville, GA 30044-7428 · (770) 865-4954
Phone(770) 865-4954
Sole ProprietorNo
Enumeration DateDecember 17, 2024
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1629885124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
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.
622 AUTUMN SHORE DR, Lawrenceville, GA 30044
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bersabell Woldetsadik's NPI number?

The NPI number for Bersabell Woldetsadik is 1629885124. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Bersabell Woldetsadik located?

Bersabell Woldetsadik practices at 622 Autumn Shore Dr, Lawrenceville, GA 30044. The listed phone number is (770) 865-4954.

What is Bersabell Woldetsadik's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Bersabell Woldetsadik was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.