NPIMap

Organization Active NPI

Advanced Behavior Consultants

  • Behavior Analyst
  • Clarksville, TN
National Provider Identifier
1134410905
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ADVANCED BEHAVIOR CONSULTANTS
Practice address
3441 Fort Campbell Blvd Ste F3
Clarksville, TN 37042-6684
Phone
(931) 449-0063
Fax
(931) 896-2737
NPI assigned
Apr 27, 2011
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Anne-Marie Wilson Harris
Title
Practice Manager
Phone
(931) 449-0063

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Assistant Behavior Analyst 106E00000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

3441 Fort Campbell Blvd Ste F3
Clarksville, TN 37042-6684

Mailing address

3441 Fort Campbell Blvd Ste F3
Clarksville, TN 37042-6684
Phone (931) 449-0063

National Provider Directory

National Provider Directory

Locations

3441 Fort Campbell Blvd
Ste F3
Clarksville, TN 37042
Phone (931) 449-0063

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1134410905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 FORT CAMPBELL BLVD STE F3",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370426684",
            "telephone_number": "931-449-0063",
            "fax_number": "931-896-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 FORT CAMPBELL BLVD STE F3",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370426684",
            "telephone_number": "931-449-0063",
            "fax_number": "931-896-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIOR CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANNE-MARIE",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "931-449-0063"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.