Individual provider Active NPI

Tabitha Ebbert, BCBA

  • Behavior Analyst
  • Knoxville, TN
National Provider Identifier
1790324465
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-40003 Issued in TN
Practice address
200 Prosperity Dr
Knoxville, TN 37923-4718
Phone
(855) 832-6727
Fax
(772) 675-9100
NPI assigned
Dec 30, 2019
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-40003 TN Primary

Addresses

Primary practice location

200 Prosperity Dr
Knoxville, TN 37923-4718

Mailing address

321 W Walnut St Ste 2
Johnson City, TN 37604-6774
Phone (423) 202-3622

Other practice location 1

4870 Sadler Rd Ste 300
Glen Allen, VA 23060-6294
Phone (855) 832-6727

Other practice location 2

424 Church St Ste 2000
Nashville, TN 37219-3304
Phone (855) 832-6727

Other practice location 3

321 W Walnut St Ste 2
Johnson City, TN 37604-6774
Phone (423) 202-3622

Other practice location 4

200 W Martin Luther King Blvd Ste 1000
Chattanooga, TN 37402-2571
Phone (855) 832-6727

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL vprice9105@gmail.com

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

OrganizationSpecialtyStatusNew patients
Adaptive Behavior Academy LLC Behavior Analyst Current 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, 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": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1790324465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W WALNUT ST STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046774",
            "telephone_number": "423-202-3622",
            "fax_number": "423-631-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROSPERITY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234718",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4870 Sadler Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230606294",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Church St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372193304",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 W Walnut St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046774",
            "country_code": "US",
            "telephone_number": "423-202-3622",
            "fax_number": "423-631-0019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Martin Luther King Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374022571",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBBERT",
        "first_name": "TABITHA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-19-40003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vprice9105@gmail.com",
            "affiliation": "N",
            "address_1": "321 W Walnut St Ste 2",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 4, 2021; 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.