Individual provider Active NPI

Destiney Maylor Duhaney, BCBA

  • Behavior Analyst
  • Covington, GA
National Provider Identifier
1770118945
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-66087 Issued in GA
Practice address
7138 Highway 212
Covington, GA 30016-8047
Phone
(336) 288-4768
NPI assigned
Mar 9, 2020
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-66087 GA Primary
Behavior Technician 106S00000X RBT-19-103261 GA

Addresses

Primary practice location

7138 Highway 212
Covington, GA 30016-8047

Mailing address

285 Country Club Dr Ste 300
Stockbridge, GA 30281-7355

Other identifiers 2

IdentifierTypeStateIssuer
1-23-66087MedicaidGA
RBT-19-103261OtherGARBT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address destiney.duhaney@atlantaautismcenter.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
RBT-19-103261GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lumi ABA LLC Behavior Analyst PastSince Jul 16, 2023 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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1770118945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 COUNTRY CLUB DR STE 300",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 HIGHWAY 212",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300168047",
            "telephone_number": "336-288-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYLOR DUHANEY",
        "first_name": "DESTINEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-66087",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-19-103261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-23-66087",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "RBT-19-103261",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "destiney.duhaney@atlantaautismcenter.com",
            "affiliation": "N",
            "address_1": "7138 Highway 212",
            "city": "Covington",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300168047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.