KERRY GOURDAIN
NPI 1962330217
Behavior Technician in Acworth, GA

Active since May 08, 2026
616 MISTFLOWER DR NW, ACWORTH, GA 30102(770) 790-7629 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kerry Gourdain NPPES

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

KERRY GOURDAIN (NPI 1962330217) is an individual behavior technician in Acworth, Georgia and active in the NPI registry since May 2026. She maintains a secondary practice location in Conyers.

NPPES Registry Identity

NPI1962330217
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKERRY GOURDAIN
Location Address616 MISTFLOWER DR NWAcworth, GA 30102-6934
Mailing Address616 Mistflower Dr NwAcworth, GA 30102-6934 · (770) 790-7629
Sole ProprietorNo
Enumeration DateMay 8, 2026
NPPES CertifiedMay 8, 2026
NPI 1962330217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.
616 MISTFLOWER DR NW, Acworth, GA 30102

Secondary Practice Location 1

Location 11313 Milstead Ave NEConyers, GA 30012-3829 · Phone (770) 790-7629

Other Providers at the Same Location NPPES 4

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

Behavior Technician
616 MISTFLOWER DR NW
ACWORTH, GA 30102
Behavior Analyst
616 MISTFLOWER DR NW
ACWORTH, GA 30102
Clinic/Center (Mental Health (Including Community Mental Health Center))
616 MISTFLOWER DR NW
ACWORTH, GA 30102
Behavior Analyst
616 MISTFLOWER DR NW
ACWORTH, GA 30102

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 Kerry Gourdain's NPI number?

The NPI number for Kerry Gourdain is 1962330217. It was assigned to this individual provider in the NPPES registry on May 8, 2026.

Where is Kerry Gourdain located?

Kerry Gourdain practices at 616 Mistflower Dr NW, Acworth, GA 30102. The listed phone number is (770) 790-7629.

What is Kerry Gourdain's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerry Gourdain was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.