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

Jaded Lotus Academy

Organization Behavior Analyst · NPI 1740989896

Jaded Lotus Academy is a Behavior Analyst in Memphis, Tennessee. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5115 Covington Way Ste 5
Memphis, TN 38134-5619
Phone: (901) 498-0108
Fax: (901) 910-3399
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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 number1740989896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jojuan Fullwiley — Owner · (901) 498-0108
NPI enumeratedFebruary 27, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023
Mailing address5115 Covington Way Ste 5, Memphis, TN 38134-5619

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