Beanca Brooke Clifton, BCBA
Individual provider Active NPI Behavior Analyst · White Bluff, TN
NPI 1104678044 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1104678044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-24-72133 (TN)
- Practice address
- 2286 Jones Creek Rd
White Bluff, TN 37187-4213 - Phone
- (615) 422-7233
- Fax
- (209) 265-1059
- NPI assigned
- Apr 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Brook Center: Therapy Solutions, LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-72133 | TN | Yes |
Addresses
Primary practice location
2286 Jones Creek Rd
White Bluff, TN 37187-4213
Mailing address
2199 Burns Hill Rd
Lobelville, TN 37097-4618
Phone (931) 306-3676
Other providers in White Bluff, TN
- Julia Barker
- Big Step Therapy, PLLC
- Bailey Ann Brumit
- Carla Marie Burroughs
- Doreen Theresa Dagostino
- Dickson Medical Associates, PC
- Enrichment at Home
- James L Fortner
- Gabrielle Frazier
All providers in White Bluff, TN · Behavior Analyst in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2024. 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.