Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1093370165 Deactivated / Inactive NPI Male Practitioner

Mejian Thao

Behavior Technician • Cumming, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mejian Thao has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2019
NPI Deactivation Date December 20, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Mejian Thao was a registered Behavior Technician practicing in Cumming, GA. Throughout an active medical career spanning 1 years, Mejian Thao provided care at the practice location at 1664 MARKET PLACE BLVD until profile deactivation on 2019-12-20.

Practice Location & Contact Primary Location

Practice Address

1664 Market Place Blvd

Cumming, GA 300417927

Telephone 4702997571
Associated Practice Facility / Clinic
🏢 Florida Autism Center Facility NPI 1518441708

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Cumming, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
170 Specialists

Practicing in Cumming, GA (12251 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Kelsey Nutt

Behavior Technician

NPI 1184285918
NPI 1275190852

Board Certified Behavior Analyst

Macy Davidson

Behavior Technician

NPI 1356806087
Melinda Bensen

Behavior Analyst

NPI 1447712526
Candis Hughes

Behavior Technician

NPI 1508321654
Erika Garcia Flores

Behavior Technician

NPI 1750840757

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 20, 2019

Record deactivated on December 20, 2019

NPI Profile Active May 04, 2019

NPI status registered as active in NPPES database

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Updated Practice Location May 04, 2019

Registered at 1664 MARKET PLACE BLVD, CUMMING, GA 300417927 (Tel: 4702997571)

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Updated Business Mailing Address May 04, 2019

Registered at 175 MIDDLE ST UNIT 1201, LAKE MARY, FL 327463625 (Tel: 8666100580)

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Provider Name / Credentials Updated May 04, 2019

Recorded as MEJIAN THAO

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2019

Behavior Technician

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Initial NPI Registration & Enumeration May 04, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093370165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2019
Last Update: May 04, 2019
Deactivation Date: December 20, 2019

Mailing Address

175 Middle St Unit 1201

Lake Mary, FL 327463625

Phone: 8666100580

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.