Active NPI
Veja Dennis
- Behavior Analyst
- Covington, GA
National Provider Identifier
1801277710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65662
- Practice address
- 95 Partridge Dr Ste 105
Covington, GA 30016-1185 - Phone
- (678) 905-1500
- Fax
- (678) 905-1337
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 1-23-65662 | GA | Primary |
Addresses
Primary practice location
95 Partridge Dr Ste 105
Covington, GA 30016-1185
Mailing address
2168 Crest Wood Dr
Conyers, GA 30094-4795
Phone (404) 992-0192
Other practice location 1
2168 Crest Wood Dr
Conyers, GA 30094-4795
Phone (404) 992-0192
Other practice location 2
2008 Eastview Pkwy Ste 100
Conyers, GA 30013-5717
Phone (678) 905-1500
Other names 1
- Veja Myco
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 |
|---|---|---|---|
| The Itd Group LLC | Behavior Analyst | Current | Accepting new patients |
Locations
2008 Eastview Pkwy
Ste 100
Conyers, GA 30013
Phone (678) 374-3908
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709337600000",
"number": "1801277710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2168 CREST WOOD DR",
"city": "CONYERS",
"state": "GA",
"postal_code": "300944795",
"telephone_number": "404-992-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 PARTRIDGE DR STE 105",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300161185",
"telephone_number": "678-905-1500",
"fax_number": "678-905-1337"
}
],
"practiceLocations": [
{
"address_1": "2168 Crest Wood Dr",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300944795",
"country_code": "US",
"telephone_number": "404-992-0192",
"fax_number": "678-905-1337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2008 Eastview Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300135717",
"country_code": "US",
"telephone_number": "678-905-1500",
"fax_number": "678-905-1337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNIS",
"first_name": "VEJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2024-03-02",
"certification_date": "2024-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-23-65662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VEJA",
"last_name": "MYCO",
"code": "5",
"type": "Other Name"
}
]
}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 Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.