Anisa K Allad

Individual provider Active NPI Behavior Technician · Mt Juliet, TN

NPI 1003402470 · NPPES record last updated Dec 18, 2020

Key facts

NPI
1003402470
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
401 S Mount Juliet Rd Ste 235-118
Mt Juliet, TN 37122-6359
Phone
(615) 393-1709
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

401 S Mount Juliet Rd Ste 235-118
Mt Juliet, TN 37122-6359

Mailing address

1345 Pennock Ave
Nashville, TN 37207-5123
Phone (901) 229-0182

Other providers in Mt Juliet, TN

All providers in Mt Juliet, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.