Dustin Alan Hancock-Ramirez Donaldson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50851 Issued in GA

Practice address

25 Pointe Ridge Dr
Atlanta, GA 30328-2755

Phone

(678) 920-8933

NPI assigned

Jun 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dustin Alan Hancock Donaldson Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Super Stars Child Research and Development Center, Inc

  • Developmental Disabilities Clinic/Center
  • Cumming, GA
  • NPI 1275357287
  Medicare reassignment NPD
• Super Supportive Teaching for Achieving Remarkable Success Inc

  • Clinic/Center
  • Cumming, GA
  • NPI 1609669738
  NPD
• Achievements ABA Therapy Ga LLC

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1144820465
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1891364667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POINTE RIDGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POINTE RIDGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282755",
            "telephone_number": "678-920-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK-RAMIREZ DONALDSON",
        "first_name": "DUSTIN",
        "middle_name": "ALAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-21-50851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddonaldson@kissaba.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25 Pointe Ridge Dr",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303282755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DUSTIN",
            "last_name": "HANCOCK DONALDSON",
            "middle_name": "ALAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joan Han, MD
• Sue Han, MD
• Tae Il Han, MD
• Magdi M Hanafi, MD, FACOG, FICS
• Hanani LLC
• Anna Kyle Hancock, RN
• Susan Hancock, PAA
• Terra Hancock
• Charlotte Handel
• Cory Handelsman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.