ABA Therapy Solutions
Organization Active NPI Behavior Analyst · Jackson, TN
NPI 1568024313 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1568024313
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- ABA THERAPY SOLUTIONS
- Practice address
- 49 Wind Tree CV
Jackson, TN 38305-2974 - Phone
- (313) 384-6341
- NPI assigned
- Jul 2, 2019
- Organization subpart
- No
Authorized official
- Name
- Candice Hunter, BCBA
- Title
- Owner/Behavior Analyst
- Phone
- (313) 384-6341
Practitioners 1
National Provider Directory
Locations
49 Wind Tree Cv
Jackson, TN 38305
Phone (313) 384-6341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
49 Wind Tree CV
Jackson, TN 38305-2974
Mailing address
49 Wind Tree CV
Jackson, TN 38305-2974
Phone (313) 384-6341
NPI Registry JSON
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562025600000",
"number": "1568024313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WIND TREE CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052974",
"telephone_number": "313-384-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 WIND TREE CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052974",
"telephone_number": "313-384-6341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABA THERAPY SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-02",
"last_updated": "2019-07-02",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "CANDICE",
"authorized_official_title_or_position": "OWNER/BEHAVIOR ANALYST",
"authorized_official_telephone_number": "313-384-6341",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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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 Jul 2, 2019. 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.