Active NPI
Essential Components of Therapy, LLC
- Behavior Analyst
- Memphis, TN
National Provider Identifier
1235627001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ESSENTIAL COMPONENTS OF THERAPY, LLC
- Practice address
- 5438 Enid Ave
Memphis, TN 38115-2810 - Phone
- (901) 846-8531
- NPI assigned
- Apr 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candi Edwards, BCBA
- Title
- Behavior Analyst/Director
- Phone
- (901) 846-8531
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5438 Enid Ave
Memphis, TN 38115-2810
Mailing address
5438 Enid Ave
Memphis, TN 38115-2810
Phone (901) 846-8531
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Memphis, TN
- NPI 1518476860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524787200000",
"number": "1235627001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5438 ENID AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381152810",
"telephone_number": "901-846-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5438 ENID AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381152810",
"telephone_number": "901-846-8531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENTIAL COMPONENTS OF THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "CANDI",
"authorized_official_title_or_position": "BEHAVIOR ANALYST/DIRECTOR",
"authorized_official_telephone_number": "901-846-8531",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.