Tracy Leane Palm, M.S., B.C.B.A, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0000000266 Issued in TN

Practice address

6761 Stage Rd
Bartlett, TN 38134-3867

Phone

(901) 379-8827

Fax

(901) 244-6153

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Transformations Autism Treatment Center

  • Behavior Analyst
  • Cordova, TN
  • NPI 1881825107
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1639392046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 OAK RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "380029742",
            "telephone_number": "901-586-5333",
            "fax_number": "901-504-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6761 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343867",
            "telephone_number": "901-379-8827",
            "fax_number": "901-244-6153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 Carrollwood Ln",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380164623",
            "country_code": "US",
            "telephone_number": "901-647-9136",
            "fax_number": "901-291-8706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALM",
        "first_name": "TRACY",
        "middle_name": "LEANE",
        "name_prefix": "Mrs.",
        "credential": "M.S., B.C.B.A, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "LBA0000000266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "205510099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanna Victoria Owens, LPC/MHSP/NCC
• Toya Owens
• Cassady Ozanich, OTR/L
• Natalie Paige
• Enrique Carlos Palacios, O.D.
• Parit Mortem Speech and Language
• Tara Jill Parker, D.D.S
• Michael L Parrish, D.D.S.
• Preston Parrish, DDS
• Partly Sunny LLC

• Behavior Analyst in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.