Individual provider Active NPI

Ibel Sanchez Mesa, BCBA

  • Behavior Analyst
  • Clarksville, TN
National Provider Identifier
1699423608
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12584326 Issued in TN
Practice address
2200 Wilma Rudolph Blvd Ste a
Clarksville, TN 37040-5842
Phone
(615) 733-4651
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12584326 TN Primary
Behavior Technician 106S00000X 20-120024

Addresses

Primary practice location

2200 Wilma Rudolph Blvd Ste a
Clarksville, TN 37040-5842

Mailing address

364 Randell Dr
Clarksville, TN 37042-6262
Phone (786) 379-1393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12584326TNMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1699423608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 RANDELL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370426262",
            "telephone_number": "786-379-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WILMA RUDOLPH BLVD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405842",
            "telephone_number": "615-733-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ MESA",
        "first_name": "IBEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "12584326",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "20-120024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.