MS. JOJUAN FULLWILEY


Address: 6685 Quince Rd Ste 116, Memphis, TN 38119
Phone: 9012769606

MS. JOJUAN FULLWILEY (NPI# 1417469628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417469628
Entity Type Individual
Full Name MS. JOJUAN FULLWILEY
Credential BCBA
Practice Address 6685 Quince Rd Ste 116
Memphis
TN 38119
Mailing Address 6685 Quince Rd Ste 116
Memphis
TN 38119-8037
Practice Telephone 9012769606
Mailing Telephone 9012769606
Enumeration Date 2017-10-27
Last Update Date 2020-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-18-33518 TN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3834 Ginkgo Ln, Memphis, TN 381256538 9013364225 9019103399

Office Location

Street Address 6685 QUINCE RD STE 116
City MEMPHIS
State TN
Zip Code 38119

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1831569060 E-c-t Non Emergency Medical Transport Non-emergency Medical Transport (VAN) 6869 Woodlake Dr, Memphis, TN 38119 2015-09-30
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1467857664 Allan Jacob Katz Counselor 5668 Rex Rd, Suite 104, Memphis, TN 38119 2014-10-30
1962836015 Judy Ann Harrick Acupuncturist 5575 Poplar Ave., #702, Memphis, TN 38119 2013-08-26
1366791949 Jennifer Denyes Bidelman Audiologist 5625 Poplar Avenue, Memphis, TN 38119 2012-08-29
1578833620 Elizabeth Mary Dion-douglass Pharmacist 2891 Kirby Parkway, Memphis, TN 38119 2012-01-06
1598058075 Jennifer Nguyen Anesthesiology 1068 Cresthaven, Suite 150, Memphis, TN 38119 2011-05-17
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy 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.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023644366 Jaded Lotus Aba LLC Behavioral Analyst 3834 Ginkgo Ln Apt 206, Memphis, TN 38125-6538 2020-03-18
1285274340 Carolyn Timm Behavioral Analyst 6685 Quince Rd Ste 120, Memphis, TN 38119-8037 2020-01-07
1700420056 Aba Therapy & Beyond Behavioral Analyst 5115 Covington Way, Suite 5, Memphis, TN 38134-5619 2019-10-30
1225695729 Annie Cornelius Behavioral Analyst 4005 N Park Loop, Memphis, TN 38152-4220 2019-05-21
1043875602 Rachel Carolyn Joyner Behavioral Analyst 5349 Estate Office Dr Ste 2, Memphis, TN 38119-3619 2019-05-08
1730647082 Shanice P Claybrooks Behavioral Analyst 7112 Winding Path Cv, Memphis, TN 38133-6116 2019-03-06
1336603117 Trudy Brewer Behavioral Analyst 1570 Lightwood Cv, Memphis, TN 38134-7426 2019-01-26
1407358609 Momentum Aba Therapy Behavioral Analyst 2125 Leichester Ln, Memphis, TN 38134-6971 2018-03-03
1710494034 Sabrina Aquinn Wilson Behavioral Analyst 1197 Tanglewood St, Memphis, TN 38114-6742 2018-01-08
1518476860 Candi Carmel Edwards Behavioral Analyst 5438 Enid Ave, Memphis, TN 38115-2810 2017-09-29
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38119

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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