Changing the Criterion ABA Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CHANGING THE CRITERION ABA THERAPY

Practice address

2927 Carnes Avenue
Memphis, TN 38111

Phone

(870) 394-2795

NPI assigned

Aug 8, 2023

Organization subpart

No

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

Authorized official

Name

Stacia Wilson

Title

Assistant

Phone

(870) 394-2795

Specialties & licenses 1

Addresses

Other names 1

• Changing the Criterion ABA Therapy Former legal business name

Tax ID family

Changing the Criterion ABA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Changing the Criterion ABA

  • Behavior Analyst
  • West Memphis, AR
  • NPI 1598447849
  NPD tax ID

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1083397079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 SOUTHWEST DR # 450",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 CARNES AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38111",
            "telephone_number": "870-394-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING THE CRITERION ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACIA",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "870-394-2795"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing the Criterion ABA Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa Erin Chando, NP-C
• Dominique Chang, M.D.
• Jenifer Chang, RDN
• Changing Life at Home Homecare Corp
• Changing Minds Inc
• Alexandra Dee Maxted Chantara, M.D.
• Nicholas Suknarin Chantara, P.T.
• Rafael Alfonso Chaparro Jr., MD.
• Allison Rey Chapman, FAMILY NURSE PRACTIT
• Cathy M Chapman, M.D.

• Behavior Analyst in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.