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JADED LOTUS ABA LLC
NPI 1023644366
Behavior Analyst in Memphis, TN

Active since March 18, 2020
3834 GINKGO LN APT 206, MEMPHIS, TN 38125(901) 336-4225 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Jun 1, 2021, Mar 18, 2020 (3 updates tracked since 2020).

About Jaded Lotus Aba Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADED LOTUS ABA LLC (NPI 1023644366) is a healthcare organization registered as a behavior analyst in Memphis, Tennessee and active in the NPI registry since March 2020. The organization lists Jojuan Fullwiley, Bcba, as its authorized official.

NPPES Registry Identity

NPI1023644366
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameJADED LOTUS ABA LLC
Location Address3834 GINKGO LN APT 206Memphis, TN 38125-6538
Mailing Address3834 Ginkgo Ln Apt 206Memphis, TN 38125-6538 · (901) 336-4225
Phone(901) 336-4225
Organization SubpartNo
Authorized OfficialJojuan FullwileyBcba · (901) 498-0108
Enumeration DateMarch 18, 2020
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1023644366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
3834 GINKGO LN APT 206, Memphis, TN 38125
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Other Identifiers 3

Other14404249Caqh
MedicaidQ047274TN
MedicaidQ0565582TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALORYE SMITH RBT
Behavior Technician
3834 GINKGO LN APT 206
MEMPHIS, TN 38125
Shelby County (901) 498-0108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaded Lotus Aba LLC's NPI number?

The NPI number for Jaded Lotus Aba LLC is 1023644366. It was assigned to this organization in the NPPES registry on March 18, 2020.

Where is Jaded Lotus Aba LLC located?

Jaded Lotus Aba LLC is located at 3834 Ginkgo Ln Apt 206, Memphis, TN 38125. The listed phone number is (901) 336-4225.

What is Jaded Lotus Aba LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Jaded Lotus Aba LLC accept?

Health plans from Oscar Insurance Company list Jaded Lotus Aba LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaded Lotus Aba LLC was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.