Individual provider Active NPI

Hannah Pendleton, BCBA, LBA

  • Behavior Analyst
  • Knoxville, TN
National Provider Identifier
1750946620
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA1129 Issued in TN
Practice address
9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4729
Phone
(865) 394-6612
Fax
(865) 315-7014
NPI assigned
May 7, 2019
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA1129 TN Primary
Case Manager/Care Coordinator 171M00000X NU
Behavior Technician 106S00000X RBT-21-186284 TN

Addresses

Primary practice location

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4729

Mailing address

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4729
Phone (865) 394-6612

Other identifiers 2

IdentifierTypeStateIssuer
1-22-61907OtherTNBACB
RBT-21-186284OtherTNBACB

Other names 1

  • Hannah Seymour Former name

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
LBA1129TNMDBehavioral Analyst
RBT-21-186284TNMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Interventions, LLC Behavior Analyst PastSince Nov 9, 2021 Accepting new patients
Helen Ross McNabb Center PastSince Jul 30, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1750946620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9038 CROSS PARK DR STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234729",
            "telephone_number": "865-394-6612",
            "fax_number": "865-315-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9038 CROSS PARK DR STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234729",
            "telephone_number": "865-394-6612",
            "fax_number": "865-315-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "HANNAH",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "LBA1129",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-21-186284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-22-61907",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-21-186284",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "SEYMOUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.