Active NPI
Lori Byrd Waltman, BCBA
- Behavior Analyst
- Nashville, TN
National Provider Identifier
1023460672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-22784
- Practice address
- 2601 Bransford Ave
Nashville, TN 37204-2811 - Phone
- (615) 259-4636
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-22784 | IL | Primary |
Addresses
Primary practice location
2601 Bransford Ave
Nashville, TN 37204-2811
Mailing address
2601 Bransford Ave
Nashville, TN 37204-2811
Phone (615) 259-4636
Other practice location 1
126 W Sarah Ave
Saint Louis, MO 63122-2646
Phone (314) 252-2069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Therapy Specialists of Il and Mo, LLC | Behavior Analyst | Past | Accepting new patients |
| Developmental Journeys ABA, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Watertown, TN
- NPI 1255202917
-
- Behavior Analyst
- Saint Louis, MO
- NPI 1720329865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1023460672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 BRANSFORD AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042811",
"telephone_number": "615-259-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 BRANSFORD AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042811",
"telephone_number": "615-259-4636"
}
],
"practiceLocations": [
{
"address_1": "126 W Sarah Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631222646",
"country_code": "US",
"telephone_number": "314-252-2069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTMAN",
"first_name": "LORI",
"middle_name": "BYRD",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-16-22784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.