Wellformed AI

NPI 1609017698 · live from the CMS NPI Registry

Behavioral And Counseling Services, LLC

Behavior Analyst in Somerville, TN. National Provider Identifier 1609017698, active.

NPI record

NPI1609017698 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location550 Lazenby Dr, Somerville, TN 38068
Practice phone901-569-0165
EnumeratedMarch 20, 2009
Last updatedMarch 20, 2009
Authorized officialMichael Rohr, Owner/Director

Taxonomies and licenses

TaxonomyCodeLicense
Counselor101Y00000XLPC #193 (TN)
Psychologist103T00000X#1424 (TN)
Behavior Analyst primary103K00000XBACB #107 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.