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JADED LOTUS ACADEMY
NPI 1740989896
Behavior Analyst in Memphis, TN

Active since February 27, 2023
5115 COVINGTON WAY STE 5, MEMPHIS, TN 38134(901) 498-0108(901) 910-3399 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jaded Lotus Academy NPPES

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

JADED LOTUS ACADEMY (NPI 1740989896) is a healthcare organization registered as a behavior analyst in Memphis, Tennessee and active in the NPI registry since February 2023. The organization lists Jojuan Fullwiley, Owner, as its authorized official.

NPPES Registry Identity

NPI1740989896
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameJADED LOTUS ACADEMY
Location Address5115 COVINGTON WAY STE 5Memphis, TN 38134-5619
Mailing Address5115 Covington Way Ste 5Memphis, TN 38134-5619 · (901) 498-0108 · Fax (901) 910-3399
Phone(901) 498-0108
Fax(901) 910-3399
Organization SubpartNo
Authorized OfficialJojuan FullwileyOwner · (901) 498-0108
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1740989896 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.
5115 COVINGTON WAY STE 5, Memphis, TN 38134
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

INFINITE CHANGES ABA THERAPY & AUTISM SERVICES
Behavior Analyst
5115 COVINGTON WAY STE 5
MEMPHIS, TN 38134
Shelby County (901) 606-5038

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 Academy's NPI number?

The NPI number for Jaded Lotus Academy is 1740989896. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is Jaded Lotus Academy located?

Jaded Lotus Academy is located at 5115 Covington Way Ste 5, Memphis, TN 38134. The listed phone number is (901) 498-0108.

What is Jaded Lotus Academy's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaded Lotus Academy was last updated on February 27, 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.