Behavior, Attention, and Developmental Disabilities Consultants, LLC
NPI 1902089857ActiveOrganization· Psychologist, Clinical· Southaven, MS
Psychologist, Clinical in Southaven, Mississippi, registered in NPPES in December 2007. The authorized official on file is Emily Thomas Johnson, PH.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902089857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2007 |
| Last updated in NPPES | Feb 22, 2021 |
| Certified by provider | Feb 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Behavior Analyst | 103K00000X | — | — |
| Behavior Technician | 106S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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