Adaptive Behavior Academy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ADAPTIVE BEHAVIOR ACADEMY LLC

Practice address

248 Clearwater Dr
Kingsport, TN 37664-5137

Phone

(423) 426-2307

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tabitha Ebbert, MS, BCBA, LBANPI 1790324465

Title

Owner

Phone

(423) 426-2307

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Tabitha Ebbert, BCBA

  • Behavior Analyst
  • Knoxville, TN
  • NPI 1790324465
  NPD Authorized official

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1710560313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 CLEARWATER DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376645137",
            "telephone_number": "423-426-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 CLEARWATER DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376645137",
            "telephone_number": "423-426-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE BEHAVIOR ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "EBBERT",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-426-2307",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "address_1": "248 Clearwater Dr",
            "city": "Kingsport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376645137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.