Active NPI
Elizabeth Ann Ginder, MSSW, BCBA
- Behavior Analyst
- Knoxville, TN
National Provider Identifier
1780087064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4720 - Phone
- (865) 394-6612
- Fax
- (865) 315-7014
- NPI assigned
- Oct 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4720
Mailing address
9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4720
Phone (865) 394-6612
Other practice location 1
120 S David Ln
Knoxville, TN 37922-3203
Phone (901) 517-8269
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-14-10123 | Other | TN | BACB |
| LBA231 | Other | TN | STATE OF TN |
| Q008985 | Medicaid | TN |
Other names 1
- Elizabeth Gagliardi
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Interventions, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Knoxville, TN
- NPI 1609235910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1780087064",
"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": "379234720",
"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": "379234720",
"telephone_number": "865-394-6612",
"fax_number": "865-315-7014"
}
],
"practiceLocations": [
{
"address_1": "120 S David Ln",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379223203",
"country_code": "US",
"telephone_number": "901-517-8269",
"fax_number": "865-525-7494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GINDER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSSW, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-01",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-14-10123",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TN",
"identifier": "LBA231",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q008985",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "GAGLIARDI",
"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 Nov 6, 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.