Alexis Kaitlyn Anderson
Individual provider Active NPI Behavior Technician · Mt Juliet, TN
NPI 1578286241 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1578286241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1535 N Mount Juliet Rd
Mt Juliet, TN 37122-3315 - Phone
- (615) 560-6622
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | TN | Yes |
Addresses
Primary practice location
1535 N Mount Juliet Rd
Mt Juliet, TN 37122-3315
Mailing address
900 E Main St Apt 9
Murfreesboro, TN 37130-3981
Phone (865) 617-1715
Other providers in Mt Juliet, TN
- Alternative Neurophysiology D/B/a Altmed, LLC
- Brad Alan Altman
- Carlos Alvidrez
- Charles Amborn
- Ashleigh Ames
- Linda Joan Anderson
- Ragan Danielle Anderson
- Antrina S Andrews
- Glen Andrews
- Anesthesia Services Associates
All providers in Mt Juliet, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. 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.