Abc Behavior Therapy LLC
Organization Active NPI Behavior Analyst · Cordova, TN
NPI 1265908552 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1265908552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- ABC BEHAVIOR THERAPY LLC
- Practice address
- 1727 N Germantown Pkwy Ste 107
Cordova, TN 38016-3328 - Phone
- (901) 315-7628
- NPI assigned
- Oct 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Reanne Heniece Woods, MS, BCBA
- Title
- Director/Owner
- Phone
- (901) 315-7628
Practitioners 1
-
Reanne Heniece Woods, BCBA
National Provider Directory
Locations
1727 N Germantown Pkwy
Ste 107
Cordova, TN 38016
Phone (901) 315-7628
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
1727 N Germantown Pkwy Ste 107
Cordova, TN 38016-3328
Mailing address
1727 N Germantown Pkwy Ste 107
Cordova, TN 38016-3328
Phone (901) 315-7628
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740796929 | Medicaid | TN | |
| Q035787 | Medicaid | TN | |
| 1265908552 | Medicaid | TN | |
| Q057100 | Medicaid | TN |
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All providers in Cordova, TN · Behavior Analyst in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.