Active NPI
Nympha J. Mathurin Meadows, M.ED, BCBA
- Behavior Analyst
- Johns Creek, GA
National Provider Identifier
1700300795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456 - Phone
- (800) 331-8604
- Fax
- (800) 331-8604
- NPI assigned
- Aug 1, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456
Mailing address
2100 Riverside Pkwy
Suite 128 - 144
Lawrenceville, GA 30043-5368
Phone (800) 331-8604
Other practice location 1
650 Oxford Crest Ct
Lawrenceville, GA 30043
Phone (786) 541-6212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700300795 | Medicaid | GA | |
| 1205138864 | 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
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Transition Works , LLC | Behavior Analyst | Current | Accepting new patients |
Locations
11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159
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 and National Provider Directory roles.
-
- Behavior Analyst
- Johns Creek, GA
- NPI 1205138864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1700300795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 RIVERSIDE PKWY",
"address_2": "SUITE 128 - 144",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435368",
"telephone_number": "800-331-8604",
"fax_number": "800-331-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11340 LAKEFIELD DR STE 200",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300972456",
"telephone_number": "800-331-8604",
"fax_number": "800-331-8604"
}
],
"practiceLocations": [
{
"address_1": "650 Oxford Crest Ct",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "30043",
"country_code": "US",
"telephone_number": "786-541-6212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHURIN MEADOWS",
"first_name": "NYMPHA",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "M.ED, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700300795",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205138864",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.