Individual provider Active NPI

Javongia Bell, BCBA

  • Behavior Analyst
  • Riverdale, GA
National Provider Identifier
1922544576
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33268 Issued in GA
Practice address
501 Highway 138 SW Ste 5
Riverdale, GA 30274-3905
Phone
(321) 368-0100
NPI assigned
Jan 6, 2017
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-18-33268 GA Primary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

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

OrganizationSpecialtyStatusNew patients
Gemini Behavioral Health and Wellness LLC Behavior Analyst CurrentSince May 19, 2024 Accepting new patients
Florida Autism Center Behavior Analyst Past Accepting new patients
Spectrum Analytic Consulting LLC Behavior Analyst PastSince Jun 1, 2020 Accepting new patients

Locations

501 Highway 138 SW
Ste 5
Riverdale, GA 30274
Phone (321) 368-0100

Organizations & group practices 3

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1922544576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 CENTURY BLVD NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453397",
            "telephone_number": "678-974-2162",
            "fax_number": "321-593-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HIGHWAY 138 SW STE 5",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743905",
            "telephone_number": "321-368-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1776 Century Blvd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303453397",
            "country_code": "US",
            "telephone_number": "678-974-2162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 Murrell Road",
            "address_purpose": "LOCATION",
            "city": "Viera",
            "state": "FL",
            "postal_code": "32940",
            "country_code": "US",
            "telephone_number": "321-426-7759",
            "fax_number": "321-593-0839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "JAVONGIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-18-33268",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.