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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Laura Henley Adams
- Marli Christine Adams
- Olivia Anne Adams
- Rachel Adams
- Sharonica Adams
- Lauren Rebecca Adan
- Jessica Lee Adcock
- Julie M Adcock
- Timothy Wells Adcock
- Addiction & Mental Health Services, LLC
All providers in Clarksville, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2024. 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.