IndividualActive
Mandela Ross
NPI 1053201996 · Behavior Technician · Kennesaw, GA
Mandela Ross is a Behavior Technician provider in Kennesaw, GA (NPI 1053201996).
Provider details
- NPI number
- 1053201996
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3330 Chastain Meadows Pkwy Nw # 200
Kennesaw, GA 30144-5881
Phone: (678) 648-7644
Street-level locationGet directions
Mailing address
6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645
Registry dates
- Enumerated
- 2025-07-03
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Frequently asked questions
- What is Mandela Ross's NPI number?
- Mandela Ross's National Provider Identifier (NPI) is 1053201996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mandela Ross's specialty?
- Mandela Ross is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mandela Ross located?
- Mandela Ross's practice location on file with NPPES is 3330 Chastain Meadows Pkwy Nw # 200, Kennesaw, GA 30144-5881.
- What is Mandela Ross's phone number?
- The practice phone number listed in the NPPES registry for Mandela Ross is (678) 648-7644.
- Is Mandela Ross's NPI active?
- Yes — Mandela Ross's NPI (1053201996) is active in the NPPES registry as of the last update on 2025-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.