NPIMap

Organization Active NPI

Mobile Therapy Centers of Tennessee, LLC

  • Behavior Analyst
  • Brentwood, TN
National Provider Identifier
1689187247
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11519477 Issued in CO
Legal business name
MOBILE THERAPY CENTERS OF TENNESSEE, LLC
Practice address
330 Franklin Rd Ste 135a-142
Brentwood, TN 37027-3280
Phone
(615) 478-6603
NPI assigned
Nov 6, 2017
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Darrell G Vanzant Jr., BCBANPI 1164769634
Title
Owner
Phone
(615) 478-6603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 11519477 CO Primary

Addresses

Primary practice location

330 Franklin Rd Ste 135a-142
Brentwood, TN 37027-3280

Mailing address

330 Franklin Rd Ste 135a-142
Brentwood, TN 37027-3280
Phone (615) 478-6603

National Provider Directory

National Provider Directory

Locations

116 Center Ct
Clarksville, TN 37040
Phone (615) 538-7955

211 Dunbar Cave Rd
Ste 231
Clarksville, TN 37043

325 Seaboard Ln
Franklin, TN 37067
Phone (615) 538-7355

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1689187247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD STE 135A-142",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273280",
            "telephone_number": "615-478-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD STE 135A-142",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273280",
            "telephone_number": "615-478-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE THERAPY CENTERS OF TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "VANZANT",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-478-6603",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "11519477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.