Individual provider Active NPI

Donta Nicole Hallmon, BCBA

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1336504455
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-53225 Issued in GA
Practice address
756 W Peachtree St NW FL 4
Atlanta, GA 30308-2378
Phone
(762) 622-8360
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-21-53225 GA Primary

Addresses

Primary practice location

756 W Peachtree St NW FL 4
Atlanta, GA 30308-2378

Mailing address

PO Box 19525
Atlanta, GA 30325-0525
Phone (762) 622-8360

Other identifiers 2

IdentifierTypeStateIssuer
003259448PMedicaidGA
003259448GMedicaidGA

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

Practice roles

OrganizationSpecialtyStatusNew patients
I Peep BXS Behavior Analyst CurrentSince Aug 1, 2022 Accepting new patients
Supportive Care ABA Ga LLC Behavior Analyst Past Accepting new patients

Locations

756 W Peachtree St NW
Fl 4
Atlanta, GA 30308
Phone (404) 369-3392

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": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1336504455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303250525",
            "telephone_number": "762-622-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 W PEACHTREE ST NW FL 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082378",
            "telephone_number": "762-622-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMON",
        "first_name": "DONTA",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-21-53225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003259448P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003259448G",
            "state": "GA"
        }
    ],
    "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 Oct 10, 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.