Alicia Beauchamp, RBT

Individual provider Active NPI Behavior Technician · Lenoir City, TN

NPI 1619698701 · NPPES record last updated Sep 7, 2022

Key facts

NPI
1619698701
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1475 Simpson Rd W Ste 2
Lenoir City, TN 37771-6686
Phone
(865) 441-8078
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X TN Yes

Addresses

Primary practice location

1475 Simpson Rd W Ste 2
Lenoir City, TN 37771-6686

Mailing address

1475 Simpson Rd W Ste 2
Lenoir City, TN 37771-6686
Phone (865) 441-8078

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL abctenn.com

Other providers in Lenoir City, TN

All providers in Lenoir City, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.