Organization Active NPI

Innovative Behavior Services

  • Behavior Analyst
  • Memphis, TN
National Provider Identifier
1306211180
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INNOVATIVE BEHAVIOR SERVICES
Practice address
7119 Bristol Meadow LN
Memphis, TN 38125-4289
Phone
(901) 491-6653
NPI assigned
Dec 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Vernekie Crump, BCBANPI 1750756532
Title
Executive Director
Phone
(901) 491-6653

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

7119 Bristol Meadow LN
Memphis, TN 38125-4289

Mailing address

7119 Bristol Meadow LN
Memphis, TN 38125-4289
Phone (901) 491-6653

Other identifiers 1

IdentifierTypeStateIssuer
208D00000XOtherTNOTHER NON SPECIFIED

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1449273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1306211180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 BRISTOL MEADOW LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254289",
            "telephone_number": "901-491-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 BRISTOL MEADOW LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254289",
            "telephone_number": "901-491-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "VERNEKIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-491-6653",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER NON SPECIFIED",
            "identifier": "208D00000X",
            "state": "TN"
        }
    ],
    "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 Jan 5, 2024; 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.