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Amy Jinadu , BCBA

Behavior Analyst β€’ Austell, GA

Active NPI 1215466602 Individual Practitioner Female Practitioner
Practice location in NPPES

392 Maxham Rd Ste 200
Austell, GA 301685538

Call 4047211888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

392 Maxham Rd Ste 200

Austell, GA 301685538

Telephone 4047211888
Organization at the Same NPPES Address or Phone
Positive Differences Aba Facility NPI 1003469339

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Austell and Georgia

3 active clinicians are listed under Behavior Analyst with a practice address in Austell, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-25
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MA 11833158

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location March 25, 2020

Registered at 392 MAXHAM RD STE 200, AUSTELL, GA 301685538 (Tel: 4047211888)

πŸ“
Updated Business Mailing Address March 25, 2020

Registered at 392 MAXHAM RD STE 200, AUSTELL, GA 301685538 (Tel: 4047211888)

πŸ‘€
Provider Name / Credentials Updated March 25, 2020

Recorded as AMY JINADU, BCBA

πŸ“
Updated Practice Location April 05, 2019

Registered at 1100 PEACHTREE ST NE STE 200, ATLANTA, GA 303094503 (Tel: 4047211888)

πŸ“
Updated Business Mailing Address April 05, 2019

Registered at 1100 PEACHTREE ST NE STE 200, ATLANTA, GA 303094503 (Tel: 4047211888)

πŸ‘€
Provider Name / Credentials Updated April 05, 2019

Recorded as AMY EBOZUE, BCBA

βœ…
NPI Profile Active December 05, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 05, 2017

Registered at 109 OAK ST, NEWTON, MA 024641492 (Tel: 6176585611)

πŸ“
Updated Business Mailing Address December 05, 2017

Registered at 109 OAK ST, NEWTON, MA 024641492

πŸ‘€
Provider Name / Credentials Updated December 05, 2017

Recorded as AMY EBOZUE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Counselor

βœ…
NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 08, 2017

Registered at 69 BRADLEE ROAD, MILTON, MA 02186 (Tel: 6173099959)

πŸ“
Business Mailing Address (Initial Record) June 08, 2017

Registered at 69 BRADLEE RD, MILTON, MA 021861204

πŸ‘€
Provider Name / Credentials (Initial Record) June 08, 2017

Recorded as AMY EBOZUE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Counselor

🟒
Initial NPI Registration & Enumeration June 08, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215466602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2017
Last Update: March 25, 2020
Sole Proprietor: Yes

Mailing Address

392 Maxham Rd Ste 200

Austell, GA 301685538

Phone: 4047211888

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.