Organization Active NPI

Baseline ABA Therapy LLC

  • Behavior Analyst
  • Memphis, TN
National Provider Identifier
1376342642
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BASELINE ABA THERAPY LLC
Practice address
5796 Shelby Oaks Dr Ste 8
Memphis, TN 38134-7333
Phone
(901) 493-8786
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Avon Weldon
Title
Owner
Phone
(818) 653-0186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5796 Shelby Oaks Dr Ste 8
Memphis, TN 38134-7333

Mailing address

6923 Red Gum CV
Memphis, TN 38119-6810

National Provider Directory

National Provider Directory

Locations

5796 Shelby Oaks Dr
Ste 8
Memphis, TN 38134
Phone (901) 493-8786

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1376342642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 RED GUM CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381196810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5796 SHELBY OAKS DR STE 8",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347333",
            "telephone_number": "901-493-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASELINE ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "AVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-653-0186"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.