Healthcare Provider Details

I. General information

NPI: 1447800107
Provider Name (Legal Business Name): MEYANNA KAREEMA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEYANNA KAREEMA GILLIAM

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 HANDLEY RD STE 410
TYRONE GA
30290-2174
US

IV. Provider business mailing address

1346 VINE CIR
MCDONOUGH GA
30253-4697
US

V. Phone/Fax

Practice location:
  • Phone: 404-839-7934
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-17051
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-104806
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: