Healthcare Provider Details

I. General information

NPI: 1538751185
Provider Name (Legal Business Name): THALIA MEEKS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 13TH ST UNIT D
COLUMBUS GA
31901-2246
US

IV. Provider business mailing address

1537 MAGNOLIA WAY
COLUMBUS GA
31904-2176
US

V. Phone/Fax

Practice location:
  • Phone: 706-780-1704
  • Fax:
Mailing address:
  • Phone: 762-766-4530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-67520
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA001048
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-154576
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: