Organization Active NPI

Madisons Journey ABA Therapy, LLC

  • Behavior Analyst
  • Dothan, AL
National Provider Identifier
1124775879
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MADISONS JOURNEY ABA THERAPY, LLC
Practice address
212 W Troy St Ste B
Dothan, AL 36303-4455
Phone
(205) 479-3369
Fax
(205) 882-6636
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Chrystal Lynne Atkinson, BCBA, LBANPI 1982264651
Title
Owner
Phone
(205) 479-3369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

212 W Troy St Ste B
Dothan, AL 36303-4455

Mailing address

703 Logan Rd Ste 119
Clanton, AL 35045-9209
Phone (205) 479-3369

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1124775879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 LOGAN RD STE 119",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350459209",
            "telephone_number": "205-479-3369",
            "fax_number": "205-882-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W TROY ST STE B",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034455",
            "telephone_number": "205-479-3369",
            "fax_number": "205-882-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISONS JOURNEY ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-479-3369",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA,  LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.