NPI 1578075792 · live from the CMS NPI Registry
Jamesa Yvette Alston, MS,BCBA
Behavior Analyst in Cordova, TN. National Provider Identifier 1578075792, active.
NPI record
| NPI | 1578075792 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6830 Garmin Ln, Cordova, TN 38018 |
| Practice phone | 901-277-3318 |
| Mailing address | 2068 Evelyn Ave, Memphis, TN 38104 |
| Enumerated | October 27, 2017 |
| Last updated | July 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 802 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.