Organization Active NPI

Sunrise ABA of Tennessee LLC

  • Behavior Analyst
  • Nashville, TN
National Provider Identifier
1326766288
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUNRISE ABA OF TENNESSEE LLC
Practice address
6339 Charlotte Pike Ste 2057
Nashville, TN 37209-2926
Phone
(628) 250-7500
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Brady Keith
Title
Director of Operations
Phone
(628) 250-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6339 Charlotte Pike Ste 2057
Nashville, TN 37209-2926

Mailing address

505 San Marin Dr Ste 100B
Novato, CA 94945-1309
Phone (628) 250-7500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1326766288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SAN MARIN DR STE 100B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451309",
            "telephone_number": "628-250-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 CHARLOTTE PIKE STE 2057",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092926",
            "telephone_number": "628-250-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ABA OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "628-250-7500"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.