Alan Fagans

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-341444 Issued in TN

Practice address

115 E 8TH Ave
Johnson City, TN 37601-4647

Phone

(423) 747-5724

NPI assigned

Apr 27, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1659127835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 8TH AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014647",
            "telephone_number": "423-747-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGANS",
        "first_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-24-341444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashlyn Fadial
• Marc A. Fagelson, PH.D., CCC-A
• Tabitha Nicole Fair, RDH
• Fairview Housing & Management Corporation
• Fairview Therapy
• Gerald F Falasca, MD

• Behavior Technician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.