NPIMap

Organization Active NPI

MLG Behavior Therapy LLC

  • Behavior Analyst
  • East Point, GA
National Provider Identifier
1376310201
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MLG BEHAVIOR THERAPY LLC
Practice address
1030 Brookdale Dr
East Point, GA 30344-2811
Phone
(404) 202-8492
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Jonas Alexander JenkinsNPI 1134415102
Title
Owner
Phone
(404) 202-8492

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

1030 Brookdale Dr
East Point, GA 30344-2811

Mailing address

1030 Brookdale Dr
East Point, GA 30344-2811
Phone (404) 202-8492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1376310201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BROOKDALE DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442811",
            "telephone_number": "404-202-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BROOKDALE DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442811",
            "telephone_number": "404-202-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLG BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JONAS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-202-8492"
    },
    "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 East Point, GA

Sources for this page

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