Cassie Bogle
Individual provider Active NPI Behavior Technician · Gallatin, TN
NPI 1043089121 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1043089121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-296822 (TN)
- Practice address
- 145 Goodview Way
Gallatin, TN 37066-3114 - Phone
- (615) 637-2196
- Fax
- (317) 520-8200
- NPI assigned
- Dec 29, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-296822 | TN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-296822 | TN | Yes |
Addresses
Primary practice location
145 Goodview Way
Gallatin, TN 37066-3114
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other providers in Gallatin, TN
- Alvisha Black
- Nikolas Blascoe
- Holly Block
- Bloom Speech & Language Therapy, PLLC
- Jamie M Boggs
- John Boileau
- Paul Allen Bolling
- Allison Bonds
- Kelly Bornefeld
- Jacob Bourget
All providers in Gallatin, 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 Dec 29, 2023. 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.