Individual provider Active NPI

Candyce Michelle Turner, BCBA

  • Behavior Analyst
  • Jasper, TN
National Provider Identifier
1023846516
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2017-133 Issued in AL
Practice address
20 Courthouse SQ
Jasper, TN 37347-3530
Phone
(256) 797-9920
Fax
(423) 805-9889
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2017-133 AL Primary

Addresses

Primary practice location

20 Courthouse SQ
Jasper, TN 37347-3530

Mailing address

20 Courthouse SQ
Jasper, TN 37347-3530
Phone (256) 797-9920

Other practice location 1

1288 County Road 255
Bridgeport, AL 35740-7498
Phone (256) 695-8431

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

State licenses

LicenseStateTypeSpecialty
2017-133ALMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1023846516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COURTHOUSE SQ",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473530",
            "telephone_number": "256-797-9920",
            "fax_number": "423-805-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COURTHOUSE SQ",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473530",
            "telephone_number": "256-797-9920",
            "fax_number": "423-805-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 County Road 255",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "AL",
            "postal_code": "357407498",
            "country_code": "US",
            "telephone_number": "256-695-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "CANDYCE",
        "middle_name": "MICHELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2017-133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.