NPIMap

Organization Active NPI

Momentum Behavior Analysis, LLC

  • Behavior Analyst
  • Crossville, TN
National Provider Identifier
1275923880
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MOMENTUM BEHAVIOR ANALYSIS, LLC
Practice address
1215 War Eagle Dr
Crossville, TN 38572-9009
Phone
(931) 287-3710
Fax
(931) 287-2778
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Mrs. Allison Rena Crawford, MS, BCBANPI 1871807024
Title
President, Behavior Analyst
Phone
(931) 335-3950

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 SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1215 War Eagle Dr
Crossville, TN 38572-9009

Mailing address

1215 War Eagle Dr
Crossville, TN 38572-9009
Phone (931) 287-3710

Other identifiers 1

IdentifierTypeStateIssuer
Q011719MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1275923880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 WAR EAGLE DR",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385729009",
            "telephone_number": "931-287-3710",
            "fax_number": "931-287-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WAR EAGLE DR",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385729009",
            "telephone_number": "931-287-3710",
            "fax_number": "931-287-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM BEHAVIOR ANALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "PRESIDENT, BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "931-335-3950",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q011719",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.