NPI 1578130522 · live from the CMS NPI Registry
Jenna Baine, LBA, BCBA, RBT
Behavior Analyst in Memphis, TN. National Provider Identifier 1578130522, active.
NPI record
| NPI | 1578130522 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6413 Quince Rd, Memphis, TN 38119 |
| Practice phone | 901-690-5213 |
| Enumerated | June 8, 2021 |
| Last updated | March 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Technician | 106S00000X | RBT-21-171312 (TN) |
| Behavior Analyst primary | 103K00000X | 928 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.