Jewel ABA Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

JEWEL ABA THERAPY

Practice address

116 MLK Sr Heritage TRL
Stockbridge, GA 30281-3424

Phone

(770) 212-9500

Fax

(470) 410-1917

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Tamakio M Patterson

Title

Owner

Phone

(404) 883-7567

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Berhane De Barros

  • Behavior Analyst
  • Jefferson, GA
  • NPI 1306516463
  NPD (past)
• Scott Rustulka, MS, QASP

  • Behavior Analyst
  • San Diego, CA
  • NPI 1992160618
  NPD (past)

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1871356147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MLK SR HERITAGE TRL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813424",
            "telephone_number": "770-212-9500",
            "fax_number": "470-410-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MLK SR HERITAGE TRL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813424",
            "telephone_number": "770-212-9500",
            "fax_number": "470-410-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWEL ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "TAMAKIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-883-7567",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verlicia Jefferson-Lane
• April Jefferson, LCSW
• Chrishanda Jenise Jenkins, FNP-C
• Loni Elise Jenkins, MD
• Ronald Christopher Jett II
• Jla3 Services LLC
• JLM Dentistry of Stockbridge
• Lee C Joassin
• John C.Vencill O.D., P.C.
• Tamika Johnnicans, NURSE PRACTITIONER

• Behavior Analyst in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.