Organization Active NPI

Southeast Behavioral Services

  • Behavior Analyst
  • Knoxville, TN
National Provider Identifier
1790285492
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
180 Issued in TN
Legal business name
SOUTHEAST BEHAVIORAL SERVICES
Practice address
2230 Nora Mae Rd
Knoxville, TN 37932-2736
Phone
(813) 598-1337
NPI assigned
Feb 19, 2018
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Chad Szala, BCBANPI 1841668126
Title
Behavior Analyst
Phone
(658) 312-8220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 180 TN Primary

Addresses

Primary practice location

2230 Nora Mae Rd
Knoxville, TN 37932-2736

Mailing address

2230 Nora Mae Rd
Knoxville, TN 37932-2736
Phone (813) 598-1337

Other practice location 1

1416 Wenlock Rd
Knoxville, TN 37922-1422
Phone (276) 698-5609

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1790285492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 NORA MAE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322736",
            "telephone_number": "813-598-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NORA MAE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322736",
            "telephone_number": "813-598-1337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 Wenlock Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379221422",
            "country_code": "US",
            "telephone_number": "276-698-5609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEAST BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "SZALA",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "658-312-8220",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 10, 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.