NPIMap

Organization Active NPI

Behavior Intervention & Therapy Services, LLC

  • Behavior Analyst
  • Cordova, TN
National Provider Identifier
1073803219
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR INTERVENTION & THERAPY SERVICES, LLC
Practice address
1951 Chartridge Dr
Cordova, TN 38016-2385
Phone
(901) 606-6352
NPI assigned
Apr 8, 2011
Last updated
Apr 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Mr. Daniel Okemba Okello, BCBANPI 1679880546
Title
Executive Director
Phone
(901) 606-6352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1951 Chartridge Dr
Cordova, TN 38016-2385

Mailing address

1951 Chartridge Dr
Cordova, TN 38016-2385
Phone (901) 606-6352

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1073803219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 CHARTRIDGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162385",
            "telephone_number": "901-606-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 CHARTRIDGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162385",
            "telephone_number": "901-606-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR INTERVENTION & THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "OKELLO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "OKEMBA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-606-6352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "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 Apr 8, 2011; 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.