Alissah Gulley
Individual provider Active NPI Behavior Technician · Mt Juliet, TN
NPI 1669242541 · NPPES record last updated Jan 3, 2024
Key facts
- NPI
- 1669242541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-256909 (TN)
- Practice address
- 854 N Mount Juliet Rd
Mt Juliet, TN 37122-4430 - Phone
- (615) 558-4082
- Fax
- (317) 520-8200
- NPI assigned
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-256909 | TN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-256909 | TN | Yes |
Addresses
Primary practice location
854 N Mount Juliet Rd
Mt Juliet, TN 37122-4430
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other providers in Mt Juliet, TN
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- Lisa C Gronberg
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- Tiffany Nicole Guerrieri
- Sarah Catherine Guisinger
- Joshua Kent Gunnels
- Brett Haarmann
- Nicholas Haeffele
- Lauren Haggard
- Akshay Hajari
All providers in Mt Juliet, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.