Active NPI
Zachary Stevens, BCBA, LBA
- Behavior Analyst
- Fayetteville, TN
National Provider Identifier
1326317066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2270 Thornton Taylor Pkwy Ste B
Fayetteville, TN 37334-3669 - Phone
- (615) 669-6397
- Fax
- (615) 992-3933
- NPI assigned
- Dec 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2270 Thornton Taylor Pkwy Ste B
Fayetteville, TN 37334-3669
Mailing address
2270 Thornton Taylor Pkwy Ste B
Fayetteville, TN 37334-3669
Phone (615) 669-6397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q006469 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practical Behavior Analysis, LLC | Behavior Analyst | Current | Accepting new patients |
| Columbus Medical Services, LLC | Past | Accepting new patients |
Locations
2270 Thornton Taylor Pkwy
Ste B
Fayetteville, TN 37334
Phone (615) 669-6397
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Fayetteville, TN
- NPI 1184131633
-
- Developmental Therapist
- Hermitage, TN
- NPI 1104020452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1326317066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 THORNTON TAYLOR PKWY STE B",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373343669",
"telephone_number": "615-669-6397",
"fax_number": "615-992-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 THORNTON TAYLOR PKWY STE B",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373343669",
"telephone_number": "615-669-6397",
"fax_number": "615-992-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "ZACHARY",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-27",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q006469",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.