Reanne Heniece Woods, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-28516 Issued in TN

Practice address

1727 N Germantown Pkwy Ste 107
Cordova, TN 38016-3328

Phone

(901) 315-7628

Fax

(855) 430-0596

NPI assigned

Dec 24, 2017

Last updated

May 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abc Behavior Therapy LLC

  • Behavior Analyst
  • Cordova, TN
  • NPI 1265908552
  NPD Authorized official

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

{
    "created_epoch": "1514073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1740796929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 N GERMANTOWN PKWY STE 107",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163328",
            "telephone_number": "901-315-7628",
            "fax_number": "855-430-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 N GERMANTOWN PKWY STE 107",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163328",
            "telephone_number": "901-315-7628",
            "fax_number": "855-430-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5796 Shelby Oaks Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381347333",
            "country_code": "US",
            "telephone_number": "901-315-7628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "REANNE",
        "middle_name": "HENIECE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-24",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-17-28516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q035787",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George R Woodbury
• Mario Wooden Sr.
• Jerrie Woodland
• Alexes Woods
• Kelsey Woods
• Trinicia Woods
• Wanda M Woodward, PHD, LPC-MHSP
• Charmaine Wooten
• Wootton Family Chiropractic
• Jared M Wootton, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.