Individual
MRS. NYMPHA J. MATHURIN MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
11340 LAKEFIELD DR STE 200, JOHNS CREEK, GA 30097-2456
(800) 331-8604
(800) 331-8604
Mailing address
2100 RIVERSIDE PKWY, SUITE 128 - 144, LAWRENCEVILLE, GA 30043-5368
(800) 331-8604
(800) 331-8604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205138864
—
GA
05
—
1700300795
—
GA
Enumeration date
08/01/2017
Last updated
07/27/2022
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