Actual Behavior Change, LP
Organization Active NPI Behavior Analyst · Nashville, TN
NPI 1396017372 · NPPES record last updated Feb 28, 2025
Key facts
- NPI
- 1396017372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 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
- Organization subpart
- No
Authorized official
- Name
- Bethany Holton, LBA, BCBA, MS
- Title
- Owner
- Phone
- (615) 916-0664
Practitioners 17
-
Bethany Holton, MS, BCBA, LBA, TLPC
-
Geoffrey John Ferris, M.ED., B.C.B.A.
-
Danielle Kanouff, MS
-
Alicia Lankford, ED.S., BCBA
-
Kathryn Hammonds, M.S. BCBA, LBA
National Provider Directory
Locations
73 White Bridge Pike
Ste 103232
Nashville, TN 37205
Phone (615) 715-3788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Behavior Analyst |
103K00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1527661 | Medicaid | TN |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2025. 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.