Active NPI
Donta Nicole Hallmon, BCBA
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1336504455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-53225
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003259448P | Medicaid | GA | |
| 003259448G | Medicaid | GA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Peep BXS | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Atlanta, GA
- NPI 1619637147
-
- Behavior Analyst
- Newnan, GA
- NPI 1023731320
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.