Bethany Holton, MS, BCBA, LBA, TLPC
Individual provider Active NPI Behavior Analyst · Nashville, TN
NPI 1003089897 · NPPES record last updated Feb 28, 2025
Key facts
- NPI
- 1003089897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 73 White Bridge Rd
Ste. 103-232
Nashville, TN 37205-1444 - Phone
- (615) 916-0664
- Fax
- (615) 953-2949
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33 | TN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Actual Behavior Change, LP | Behavior Analyst | Current | Accepting new patients |
Locations
73 White Bridge Pike
Ste 103232
Nashville, TN 37205
Phone (615) 715-3788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
73 White Bridge Rd
Ste. 103-232
Nashville, TN 37205-1444
Mailing address
73 White Bridge Rd
Ste. 103-232
Nashville, TN 37205-1444
Phone (615) 916-0664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1511682 | Medicaid | TN |
Other providers in Nashville, TN
- Sidney Holt
- Stephanie D. Holt
- Makenzie Ann Holtermann
- Lisa Holtkamp
- Teresa Jean Holtman
- Melissa Dawn Holton
- Remington Holton
- Sarah Kirsten Holz
- Sally Holzapfel
- Thomas Werner Holzen
All providers in Nashville, TN · Behavior Analyst in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.