Trelyce Adams

Individual provider Active NPI Behavior Technician · Clarksville, TN

NPI 1013788025 · NPPES record last updated Jan 10, 2024

Key facts

NPI
1013788025
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
331 Landrum PL
Clarksville, TN 37043-6329
Phone
(931) 553-1395
NPI assigned
Jan 10, 2024
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 TN Yes

Addresses

Primary practice location

331 Landrum PL
Clarksville, TN 37043-6329

Mailing address

331 Landrum PL
Clarksville, TN 37043-6329
Phone (931) 553-1395

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 10, 2024.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1013788025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LANDRUM PL",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436329",
            "telephone_number": "931-553-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LANDRUM PL",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436329",
            "telephone_number": "931-553-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TRELYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

All providers in Clarksville, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.