Lumi ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LUMI ABA LLC

Practice address

115 Keyton Dr
Covington, GA 30016-1924

Phone

(404) 388-2190

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Destiney Maylor, BCBA

Title

Board Certified Behavior Analyst

Phone

(404) 388-2190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Destiney Maylor Duhaney, BCBA

  • Behavior Analyst
  • Covington, GA
  • NPI 1770118945
  NPD (past)

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1295413904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POSTMASTER DR UNIT 786",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KEYTON DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161924",
            "telephone_number": "404-388-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMI ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "MAYLOR",
        "authorized_official_first_name": "DESTINEY",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "404-388-2190",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carlene Lynch
• Margaret Blanche Lyons, FNP
• M. Michael Pulliam, M.D., P.C. (Pulliam Eye Group/Newton Rockdale ASC)
• Candra Lanette Mack, M.D.
• Justin K Mack, DDS

• Behavior Analyst in Covington, GA
• Providers in Covington, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.