Organization Active NPI

Julie Demarco,Bcba

  • Community/Behavioral Health Agency
  • Cordova, TN
National Provider Identifier
1033540943
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-08-4317 Issued in TN
Legal business name
JULIE DEMARCO,BCBA
Practice address
8284 Clinton Way LN
Cordova, TN 38018-6305
Phone
(901) 283-6455
Fax
(901) 757-1146
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Ms. Julie Demarco, BCBANPI 1639331168
Title
Owner
Phone
(901) 283-6455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-08-4317 TN Primary

Addresses

Primary practice location

8284 Clinton Way LN
Cordova, TN 38018-6305

Mailing address

8284 Clinton Way LN
Cordova, TN 38018-6305
Phone (901) 283-6455

National Provider Directory

National Provider Directory

Locations

202 W Poplar Ave
Collierville, TN 38017
Phone (901) 690-5213

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1033540943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8284 CLINTON WAY LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186305",
            "telephone_number": "901-283-6455",
            "fax_number": "901-757-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8284 CLINTON WAY LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186305",
            "telephone_number": "901-283-6455",
            "fax_number": "901-757-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE DEMARCO,BCBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-283-6455",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1-08-4317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.