Javongia Bell, BCBA
Individual provider Active NPI Behavior Analyst · Riverdale, GA
NPI 1922544576 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1922544576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-18-33268 (GA)
- Practice address
- 501 Highway 138 SW Ste 5
Riverdale, GA 30274-3905 - Phone
- (321) 368-0100
- NPI assigned
- Jan 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gemini Behavioral Health and Wellness LLC | Behavior Analyst | Current |
Accepting new patients |
| Spectrum Analytic Consulting LLC | Behavior Analyst | Past |
Accepting new patients |
| Florida Autism Center | Behavior Analyst | Past | Accepting new patients |
Locations
501 Highway 138 SW
Ste 5
Riverdale, GA 30274
Phone (321) 368-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-18-33268 | GA | Yes |
| Behavior Analyst |
103K00000X |
Addresses
Primary practice location
501 Highway 138 SW Ste 5
Riverdale, GA 30274-3905
Mailing address
1776 Century Blvd NE Ste a
Atlanta, GA 30345-3397
Phone (678) 974-2162
Other practice location 1
1776 Century Blvd NE Ste A
Atlanta, GA 30345-3397
Phone (678) 974-2162
Other practice location 2
5500 Murrell Road
Viera, FL 32940
Phone (321) 426-7759
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009093700 | Medicaid | FL |
Other providers in Riverdale, GA
- Laura Colleen Baskett
- Franklin Damon Battle
- Kindra Battles
- Merilee Beesley
- Venera Bekteshi
- Khadijah Bell
- Michelle R Bell
- Joana Isabel Benayoun
- Benchmark Physical Therapy Inc
- Benchmark Physical Therapy, Inc
All providers in Riverdale, GA · Behavior Analyst in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.