NPI 1396017372 · live from the CMS NPI Registry
Actual Behavior Change, Lp
Behavior Analyst in Nashville, TN. National Provider Identifier 1396017372, active.
NPI record
| NPI | 1396017372 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 73 White Bridge Rd, Ste. 103-232, Nashville, TN 37205 |
| Practice phone | 615-916-0664 |
| Enumerated | February 6, 2012 |
| Last updated | February 28, 2025 |
| Authorized official | Bethany Holton, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.