Organization Active NPI

Great Strides Behavior Solutions, LLC

  • Behavior Analyst
  • Cordova, TN
National Provider Identifier
1578348900
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GREAT STRIDES BEHAVIOR SOLUTIONS, LLC
Doing business as
Great Strides Behavior Solutions, LLC
Practice address
7410 Appling Mist Dr
Cordova, TN 38016-4980
Phone
(252) 381-0632
NPI assigned
Aug 24, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Erin Mallory Collins, BCBA, LBA-TNNPI 1679081145
Title
Clinical Director/Owner
Phone
(901) 864-7318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7410 Appling Mist Dr
Cordova, TN 38016-4980

Mailing address

7410 Appling Mist Dr
Cordova, TN 38016-4980
Phone (901) 430-9675

Other practice location 1

7410 Appling Mist Dr
Cordova, TN 38016-4980
Phone (252) 381-0632

Other names 1

  • Great Strides Behavior Solutions, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1578348900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 APPLING MIST DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164980",
            "telephone_number": "901-430-9675",
            "fax_number": "901-545-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 APPLING MIST DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164980",
            "telephone_number": "252-381-0632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7410 Appling Mist Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380164980",
            "country_code": "US",
            "telephone_number": "252-381-0632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT STRIDES BEHAVIOR SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "MALLORY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "901-864-7318",
        "authorized_official_credential": "BCBA, LBA-TN"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Strides Behavior Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Strides Behavior Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 6, 2023; 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.