NPI 1710560313 · live from the CMS NPI Registry
Adaptive Behavior Academy LLC
Behavior Analyst in Kingsport, TN. National Provider Identifier 1710560313, active.
NPI record
| NPI | 1710560313 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 248 Clearwater Dr, Kingsport, TN 37664 |
| Practice phone | 423-426-2307 |
| Enumerated | April 30, 2021 |
| Last updated | April 30, 2021 |
| Authorized official | Tabitha Ebbert, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.