Individual provider Active NPI

Naa Y Oden, BCBA, NCSP

  • Behavior Analyst
  • Douglasville, GA
National Provider Identifier
1386068476
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35830 Issued in GA
Practice address
4813 Ridge Rd Ste 111-639
Douglasville, GA 30134
Phone
(330) 622-3766
Fax
(404) 225-1840
NPI assigned
Feb 10, 2014
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X OH3043645 OH
Behavior Analyst 103K00000X 1-19-35830 GA Primary

Addresses

Primary practice location

4813 Ridge Rd Ste 111-639
Douglasville, GA 30134

Mailing address

4813 Ridge Rd Ste 111-639
Douglasville, GA 30134-6117
Phone (330) 622-3766

Other practice location 1

4813 Ridge Rd Ste 111-639
Douglasville, GA 30134
Phone (330) 622-3766 ext. 1

Other names 1

  • Naia Y Oden Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address noden@psychedaboutschool.com

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

State licenses

LicenseStateTypeSpecialty
OH3043645OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Springhealth Behavioral Health and Integrated Care Georgia, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1386068476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 RIDGE RD STE 111-639",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346117",
            "telephone_number": "330-622-3766",
            "fax_number": "404-225-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 RIDGE RD STE 111-639",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "330-622-3766",
            "fax_number": "404-225-1840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4813 Ridge Rd Ste 111-639",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "30134",
            "country_code": "US",
            "telephone_number": "330-622-3766 x1",
            "fax_number": "404-225-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODEN",
        "first_name": "NAA",
        "middle_name": "Y",
        "credential": "BCBA, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3043645",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-19-35830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "noden@psychedaboutschool.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "4813 Ridge Rd Ste 111-639",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301346117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NAIA",
            "last_name": "ODEN",
            "middle_name": "Y",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.