Serne Elderwood

Individual provider Active NPI Behavior Technician · Greenbrier, TN

NPI 1316839335 · NPPES record last updated Jul 15, 2025

Key facts

NPI
1316839335
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1170 Angus Way
Greenbrier, TN 37073-2149
Phone
(386) 365-7725
NPI assigned
Jul 15, 2025
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1170 Angus Way
Greenbrier, TN 37073-2149

Mailing address

1170 Angus Way
Greenbrier, TN 37073-2149
Phone (386) 365-7725

Other providers in Greenbrier, TN

All providers in Greenbrier, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.