Shaping Minds ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHAPING MINDS ABA LLC

Practice address

2500 Dallas Highway
Suite 202 #1116
Marietta, GA 30064

Phone

(770) 626-5989

NPI assigned

Jan 2, 2025

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deja Lanae Norwood, BCBA

Title

Bcba/Owner

Phone

(770) 626-5989

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deja Lanae Norwood McFadden

  • Behavior Analyst
  • Honolulu, HI
  • NPI 1760135065
  NPD

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1952110165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HIGHWAY",
            "address_2": "SUITE 202 #1116",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HIGHWAY",
            "address_2": "SUITE 202 #1116",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30064",
            "telephone_number": "770-626-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING MINDS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "NORWOOD",
        "authorized_official_first_name": "DEJA",
        "authorized_official_middle_name": "LANAE",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "770-626-5989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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