NPIMap

Organization Active NPI

Actual Behavior Change, LP

  • Behavior Analyst
  • Nashville, TN
National Provider Identifier
1396017372
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACTUAL BEHAVIOR CHANGE, LP
Practice address
73 White Bridge Rd
Ste. 103-232
Nashville, TN 37205-1444
Phone
(615) 916-0664
Fax
(615) 953-2949
NPI assigned
Feb 6, 2012
Last updated
Feb 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Bethany Holton, LBA, BCBA, MSNPI 1003089897
Title
Owner
Phone
(615) 916-0664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

73 White Bridge Rd
Ste. 103-232
Nashville, TN 37205-1444

Mailing address

73 White Bridge Rd
Ste. 103-232
Nashville, TN 37205-1444
Phone (615) 916-0664

Other identifiers 1

IdentifierTypeStateIssuer
1527661MedicaidTN

National Provider Directory

National Provider Directory

Locations

73 White Bridge Pike
Ste 103232
Nashville, TN 37205
Phone (615) 715-3788

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1396017372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 WHITE BRIDGE RD",
            "address_2": "STE. 103-232",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051444",
            "telephone_number": "615-916-0664",
            "fax_number": "615-953-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 WHITE BRIDGE RD",
            "address_2": "STE. 103-232",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051444",
            "telephone_number": "615-916-0664",
            "fax_number": "615-953-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTUAL BEHAVIOR CHANGE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-916-0664",
        "authorized_official_credential": "LBA, BCBA, MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527661",
            "state": "TN"
        }
    ],
    "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 Feb 28, 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.