Active NPI
Tawny Mickey, BCBA
- Behavior Analyst
- Cordova, TN
National Provider Identifier
1376265595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61310
- Practice address
- 560 Trinity Creek CV
Cordova, TN 38018-2279 - Phone
- (901) 218-5527
- Fax
- (901) 249-5686
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- 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 | 1-22-61310 | TN | Primary |
Addresses
Primary practice location
560 Trinity Creek CV
Cordova, TN 38018-2279
Mailing address
560 Trinity Creek CV
Cordova, TN 38018-2279
Phone (901) 218-5527
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1376265595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 TRINITY CREEK CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380182279",
"telephone_number": "901-218-5527",
"fax_number": "901-249-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 TRINITY CREEK CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380182279",
"telephone_number": "901-218-5527",
"fax_number": "901-249-5686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKEY",
"first_name": "TAWNY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1-22-61310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
- Yamini Menon, MD
- Methodist Healthcare Community Care Associates
- Margaret Alyson Meyer, PT, DPT
- Michael E Steuer, MD, PC
- Janet Michael
- Mid South Medical Systems LLC
- Mid South Orthopedic Associates PC (Schrader Orthopedics and Stem Cell Treatment Center, P.C.)
- Mid South Urology P C
- Mid-South Foot and Ankle Specialists, PLLC
- Mid-South Foot and Ankle Specialists, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.