NPI 1225659477 · live from the CMS NPI Registry
Behavior Family
Behavior Analyst in Clarksville, TN. National Provider Identifier 1225659477, active.
NPI record
| NPI | 1225659477 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2374 Bridgeport Way, Clarksville, TN 37042 |
| Practice phone | 254-251-1143 |
| Enumerated | April 29, 2020 |
| Last updated | January 13, 2024 |
| Authorized official | Sara Mckinney, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.