Individual provider Active NPI

Hajab Fatima, M.S., BCBA

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1225607161
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-75107 Issued in GA
Practice address
1294 Almont Dr SW
Atlanta, GA 30310-3770
Phone
(404) 839-7934
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-173012 GA
Behavior Analyst 103K00000X 1-24-75107 GA Primary

Addresses

Primary practice location

1294 Almont Dr SW
Atlanta, GA 30310-3770

Mailing address

1294 Almont Dr SW
Atlanta, GA 30310-3770
Phone (404) 839-7934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RBT-21-173012GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Myers Assessment and Therapeutic Services, LLC Behavior Analyst CurrentSince Sep 1, 2024 Accepting new patients
Little Tulips ABA Current Accepting new patients

Locations

1125 Senoia Rd
#A
Tyrone, GA 30290
Phone (404) 839-7934

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1225607161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 ALMONT DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303103770",
            "telephone_number": "404-839-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 ALMONT DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303103770",
            "telephone_number": "404-839-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIMA",
        "first_name": "HAJAB",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-21-173012",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-24-75107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.