NPIMap

Organization Active NPI

Exemplary Behavior

  • Behavior Analyst
  • Antioch, TN
National Provider Identifier
1144475807
Registry record updated Nov 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-1884 Issued in TN
Legal business name
EXEMPLARY BEHAVIOR
Practice address
4316 Summercrest Blvd
Suite
Antioch, TN 37013-5805
Phone
(615) 293-1864
NPI assigned
Nov 22, 2008
Last updated
Nov 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2008

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

Authorized official

Name
Andre AndersonNPI 1134398480
Title
Ceo
Phone
(615) 293-1864

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 1-04-1884 TN Primary

Addresses

Primary practice location

4316 Summercrest Blvd
Suite
Antioch, TN 37013-5805

Mailing address

4316 Summercrest Blvd
Suite
Antioch, TN 37013-5805
Phone (615) 293-1864

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1227312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227312000000",
    "number": "1144475807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 SUMMERCREST BLVD",
            "address_2": "SUITE",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135805",
            "telephone_number": "615-293-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 SUMMERCREST BLVD",
            "address_2": "SUITE",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135805",
            "telephone_number": "615-293-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEMPLARY BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-22",
        "last_updated": "2008-11-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-293-1864"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-04-1884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; 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.