Matt C Dye, BCBA

Individual provider Active NPI Behavior Analyst · Nolensville, TN

NPI 1285052001 · NPPES record last updated Mar 29, 2014

Key facts

NPI
1285052001
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
BACB239269 (TN)
Practice address
5009 Burke TRL
Nolensville, TN 37135-7405
Phone
(615) 579-3197
NPI assigned
Mar 29, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BACB239269TNMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB239269 TN Yes

Addresses

Primary practice location

5009 Burke TRL
Nolensville, TN 37135-7405

Mailing address

5009 Burke TRL
Nolensville, TN 37135-7405
Phone (615) 579-3197

Other providers in Nolensville, TN

All providers in Nolensville, TN · Behavior Analyst in Tennessee

Sources for this page

Verify at the official NPI Registry.