Laura Ballard-Scott
Individual provider Active NPI Behavior Analyst · Cordova, TN
NPI 1790255602 · NPPES record last updated May 14, 2021
Key facts
- NPI
- 1790255602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 424 (TN)
- Practice address
- 1155 Cully Rd
Cordova, TN 38018-8502 - Phone
- (901) 624-2454
- NPI assigned
- Dec 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 424 | TN | Yes |
Addresses
Primary practice location
1155 Cully Rd
Cordova, TN 38018-8502
Mailing address
1079 Houston Levee Road
Cordova, TN 38018
Phone (901) 826-7933
Other providers in Cordova, TN
- Matt Dane Baker
- Morgan Whitney Baker
- Jessica Ellen Balderson
- Robert Baldwin
- Amy Balentine
- Rhonda Anderson Baltier
- Cherish Renee Bandy
- Tamara Michele Banks
- Rhonda Gaddy Bantom
- Baptist Memorial Regional Rehabilitative Services
All providers in Cordova, TN · Behavior Analyst in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.