NPI 1205105368 · live from the CMS NPI Registry
Alessa Marie Brennan, B.C.B.A.
Behavior Analyst in Paducah, KY. National Provider Identifier 1205105368, active.
NPI record
| NPI | 1205105368 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3551 Park Plaza Rd, Paducah, KY 42001 |
| Practice phone | 270-702-4641 |
| Mailing address | 1321 Murfreesboro Pike Ste 702, Nashville, TN 37217 |
| Enumerated | December 19, 2011 |
| Last updated | September 5, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-11-8004 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.