Nadia Olivia Albert, BCBA
Individual provider Active NPI Behavior Analyst · Cordova, TN
NPI 1689164709 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1689164709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 507 (TN)
- Practice address
- 8066 Walnut Run Rd Ste 102
Cordova, TN 38018-8842 - Phone
- (901) 249-7838
- Fax
- (901) 271-7180
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 507 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivate Tennessee, LLC | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 507 | TN | Yes |
Addresses
Primary practice location
8066 Walnut Run Rd Ste 102
Cordova, TN 38018-8842
Mailing address
146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396
Phone (912) 508-2227
Other practice location 1
146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396
Phone (910) 410-3595
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-19-36342 | Other | BOARD CERTIFIED BEHAVIOR ANALYST | |
| Q054050 | Medicaid | TN |
Other providers in Cordova, TN
- Agilitas USA, Inc
- Tracy McKee Agostin
- Susan Mack Aguillard
- Olayinka Olaniyi Akinwumiju
- Ahmad Abdul Ghaffar a Al-Fakhouri
- Dvanishia Alford
- Ali Kaplan PHD, LLC
- Jane Kirk Alissandratos
- All Day Screening, LLC
- Janice C Allen
All providers in Cordova, TN · Behavior Analyst in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. 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.