Individual provider · Type 1 NPI

Kelsey Stout, BCBA

Behavior Analyst · Roswell, GA

NPI number 1417853326 Active

Practice location

12060 Etris Rd Ste 200
Roswell, GA 30075-1463

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

Behavior Analyst: 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…

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About NPI 1417853326

Kelsey Stout, BCBA's National Provider Identifier is 1417853326, issued on Oct 16, 2026. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Roswell, GA. The record was last updated on Oct 16, 2026.