Active NPI
Jamesa Yvette Alston, MS,BCBA
- Behavior Analyst
- Cordova, TN
National Provider Identifier
1578075792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 802
- Practice address
- 6830 Garmin LN
Cordova, TN 38018-8850 - Phone
- (901) 277-3318
- NPI assigned
- Oct 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 802 | TN | Primary |
Addresses
Primary practice location
6830 Garmin LN
Cordova, TN 38018-8850
Mailing address
2068 Evelyn Ave
Memphis, TN 38104-5416
Phone (731) 234-1873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 802 | TN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jax Behavioral Health, LLPC | Current | Accepting new patients | |
| Up-Ward ABA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Cordova, TN
- NPI 1265004931
-
- Community/Behavioral Health Agency
- Memphis, TN
- NPI 1023566999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1578075792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2068 EVELYN AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045416",
"telephone_number": "731-234-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 GARMIN LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380188850",
"telephone_number": "901-277-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSTON",
"first_name": "JAMESA",
"middle_name": "YVETTE",
"credential": "MS,BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-27",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.