NPI 1265674907 · live from the CMS NPI Registry
Brandi N Axt
Behavior Analyst in Pegram, TN. National Provider Identifier 1265674907, active.
NPI record
| NPI | 1265674907 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 502 Highway 70 Ste 273, Pegram, TN 37143 |
| Practice phone | 615-497-7428 |
| Mailing address | Po Box 273, Pegram, TN 37143 |
| Enumerated | March 26, 2009 |
| Last updated | December 9, 2015 |
| Sole proprietor | Yes |
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.