Tennessee Behavioral Therapy Jasper LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TENNESSEE BEHAVIORAL THERAPY JASPER LLC

Practice address

20 Courthouse SQ
Jasper, TN 37347-3530

Phone

(423) 847-2998

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Jenni Davis

Title

Owner

Phone

(423) 902-6598

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1659148922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COURTHOUSE SQ",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COURTHOUSE SQ",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473530",
            "telephone_number": "423-847-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE BEHAVIORAL THERAPY JASPER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-902-6598"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Stevens, MD
• Leah Rhaell Stewart, APRN
• Joshua Dean Stivers, MPT
• Michelle Lynn Story, APRN
• Rachel Katherine Stout, PHARMD
• Tennessee CVS Pharmacy LLC
• Margaret Anna Thomas, FNP-C
• Candyce Michelle Turner, BCBA
• Valley Imaging Partners, P.C.
• Valley Medical Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.