Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaded Lotus ABA LLC

Organization Behavior Analyst · NPI 1023644366

Jaded Lotus ABA LLC is a Behavior Analyst in Memphis, Tennessee. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3834 Ginkgo Ln Apt 206
Memphis, TN 38125-6538
Phone: (901) 336-4225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1023644366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jojuan Fullwiley — Bcba · (901) 498-0108
NPI enumeratedMarch 18, 2020
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address3834 Ginkgo Ln Apt 206, Memphis, TN 38125-6538

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