NPI 1902258759 · live from the CMS NPI Registry
Stephanie Nicole Bailey, BCBA
Behavior Analyst in Clarksville, TN. National Provider Identifier 1902258759, active.
NPI record
| NPI | 1902258759 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1536 Gratton Rd, Clarksville, TN 37043 |
| Practice phone | 931-614-5271 |
| Mailing address | 2519 Elkmont Dr, Clarksville, TN 37040 |
| Enumerated | July 5, 2016 |
| Last updated | April 29, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 268969 (KY) |
| Behavior Analyst | 103K00000X | 112 (TN) |
| Behavior Analyst primary | 103K00000X | 1-16-24739 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.