Mathurin Meadows, Nympha J.

Mathurin Meadows, Nympha J. is an sole proprietor health care provider with primary practice located at 11340 Lakefield Dr Ste 200 , Johns Creek GA 30097-2456. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mathurin Meadows, Nympha J. can be contacted via phone (800) 331-8604.

Contact Information

Primary practice address
11340 Lakefield Dr Ste 200 Johns Creek GA 30097-2456
Phone: (800) 331-8604
Fax: (800) 331-8604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1700300795
LBN Legal business name Mathurin Meadows, Nympha J.
Credentials M.ED, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2017
Last updated Jul 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700300795 NPPES
Georgia MEDICAID 1700300795
Georgia MEDICAID 1205138864

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