NPI 1366004749 · live from the CMS NPI Registry
Kalissa Hall, BCBA
Behavior Analyst in Clarksville, TN. National Provider Identifier 1366004749, active.
NPI record
| NPI | 1366004749 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1125 Hilliard Ln, Clarksville, TN 37042 |
| Practice phone | 605-228-6392 |
| Enumerated | July 5, 2019 |
| Last updated | August 22, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.