Tennessee Behavioral Therapy Manchester LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TENNESSEE BEHAVIORAL THERAPY MANCHESTER LLC

Practice address

811 Hillsboro Blvd
Manchester, TN 37355-2023

Phone

(423) 902-6598

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Jenni Davis

Title

Bcba/Owner

Phone

(423) 902-6598

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1265216428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COURTHOUSE SQ",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552023",
            "telephone_number": "423-902-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE BEHAVIORAL THERAPY MANCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "423-902-6598"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Diane Swiger, DNP-FNP-C
• Dionne Swink, MA
• Herschel Stephan Taylor, DDS
• John Michael Taylor
• Trevor Clay Taylor, D.D.S.
• Tennessee Orthopaedic Alliance PA
• The Doctors Group
• Patricia Claire Thoni
• Timothy Garrett RDN
• Anthony Forest Tincher, GPC

• Behavior Analyst in Manchester, TN
• Providers in Manchester, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.