NPI 1265908552 · live from the CMS NPI Registry
Abc Behavior Therapy LLC
Behavior Analyst in Cordova, TN. National Provider Identifier 1265908552, active.
NPI record
| NPI | 1265908552 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1727 N Germantown Pkwy Ste 107, Cordova, TN 38016 |
| Practice phone | 901-315-7628 |
| Enumerated | October 15, 2018 |
| Last updated | May 5, 2022 |
| Authorized official | Reanne Woods, Director/Owner |
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.