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Search › Georgia › 103K00000X

Kevin Siegel, BCBA

NPI 1417669771 · on the registry since 2022 · sole proprietor

Practice

Address
535 Riverstone Pkwy Ste 101
Canton, GA 30114
Phone
(470) 863-3090
Organisation at this address
Bluesprig Autism
Florida Autism Center
Function Forward Physical Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
79

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Male
Record last updated
2025-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia