Tri-Cities Behavioral Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-6605 Issued in TN

Legal business name

TRI-CITIES BEHAVIORAL THERAPY, LLC

Practice address

290 Boring Chapel Rd
Johnson City, TN 37615-2941

Phone

(423) 737-8995

NPI assigned

Nov 15, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Mary A Smith, BCBA

Title

Business Owner

Phone

(423) 737-8995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1487955969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BORING CHAPEL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376152941",
            "telephone_number": "423-737-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BORING CHAPEL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376152941",
            "telephone_number": "423-737-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES BEHAVIORAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "423-737-8995",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-09-6605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.