Organization Active NPI

Essential Components of Therapy, LLC

  • Behavior Analyst
  • Memphis, TN
National Provider Identifier
1235627001
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Candi Edwards, BCBANPI 1518476860
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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.