Applied Behavioral Diagnostics

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-09-5345 Issued in TN

Legal business name

APPLIED BEHAVIORAL DIAGNOSTICS

Practice address

155 Cameron Dr
Oakland, TN 38060-3373

Phone

(901) 338-7463

Fax

(901) 465-9062

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By 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

Mr. Zach Shoemaker, MS, BCBA

Title

Owner

Phone

(901) 338-7463

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1780986182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CAMERON DR",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380603373",
            "telephone_number": "901-338-7463",
            "fax_number": "901-465-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CAMERON DR",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380603373",
            "telephone_number": "901-338-7463",
            "fax_number": "901-465-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIORAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-338-7463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1-09-5345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517027",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.