IndividualActive
Khadiesha Statum, RBT
NPI 1225608367 · Behavior Technician · Alpharetta, GA
Khadiesha Statum, RBT is a Behavior Technician provider in Alpharetta, GA (NPI 1225608367).
Provider details
- NPI number
- 1225608367
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-21-165427 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645
Phone: (678) 648-7644
Street-level locationGet directions
Mailing address
6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645
Registry dates
- Enumerated
- 2021-06-30
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Frequently asked questions
- What is Khadiesha Statum's NPI number?
- Khadiesha Statum's National Provider Identifier (NPI) is 1225608367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khadiesha Statum's specialty?
- Khadiesha Statum is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Khadiesha Statum located?
- Khadiesha Statum's practice location on file with NPPES is 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645.
- What is Khadiesha Statum's phone number?
- The practice phone number listed in the NPPES registry for Khadiesha Statum is (678) 648-7644.
- Is Khadiesha Statum's NPI active?
- Yes — Khadiesha Statum's NPI (1225608367) is active in the NPPES registry as of the last update on 2026-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.