Benjamin Joseph Cole
Individual provider Active NPI Behavior Technician · Blountville, TN
NPI 1346949633 · NPPES record last updated Feb 27, 2023
Key facts
- NPI
- 1346949633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-257354 (TN)
- Practice address
- 858 Masengill Rd
Blountville, TN 37617-4119 - Phone
- (941) 875-3860
- NPI assigned
- Feb 27, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-257354 | TN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-257354 | TN | Yes |
Addresses
Primary practice location
858 Masengill Rd
Blountville, TN 37617-4119
Mailing address
858 Masengill Rd
Blountville, TN 37617-4119
Phone (941) 875-3860
Other providers in Blountville, TN
- Jeannie Odelia Bowman
- Melanie P Carswell
- Chestnut Health of Tennessee PLLC
- Christian Care Center of Bristol
- Marsha Clark
- Juliana Cortina
- County of Sullivan
- County of Sullivan
- Courtney Cox
- Christy Crawford
All providers in Blountville, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.