NPI 1295491884 · live from the CMS NPI Registry
Brittany Alexis Anthony
Behavior Analyst in Jackson, TN. National Provider Identifier 1295491884, active.
NPI record
| NPI | 1295491884 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 79 Sand Pebble Dr, Jackson, TN 38305 |
| Practice phone | 901-443-9146 |
| Mailing address | 1079 N Houston Levee Rd, Cordova, TN 38018 |
| Enumerated | November 9, 2021 |
| Last updated | December 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 1-24-77565 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.