NPIMap

Organization Active NPI

Accessible Behavior, LLC

  • Behavior Analyst
  • Antioch, TN
National Provider Identifier
1811320435
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-11796 Issued in CO
Legal business name
ACCESSIBLE BEHAVIOR, LLC
Practice address
100 Brian Cir
Antioch, TN 37013-4340
Phone
(615) 403-8206
Fax
(615) 301-6196
NPI assigned
Aug 19, 2013
Last updated
Oct 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Dr. Peter A. Beddow, PHDNPI 1841595659
Title
President/Owner
Phone
(615) 403-8206

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5228 TN
Behavior Analyst 103K00000X 1-12-11796 CO Primary

Addresses

Primary practice location

100 Brian Cir
Antioch, TN 37013-4340

Mailing address

100 Brian Cir
Antioch, TN 37013-4340
Phone (615) 403-8206

Other identifiers 1

IdentifierTypeStateIssuer
1524627MedicaidTN

Other names 1

  • Peter A. Beddow, PhD, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1811320435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRIAN CIR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134340",
            "telephone_number": "615-403-8206",
            "fax_number": "615-301-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRIAN CIR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134340",
            "telephone_number": "615-403-8206",
            "fax_number": "615-301-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESSIBLE BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "BEDDOW",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "615-403-8206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5228",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-12-11796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524627",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter A. Beddow, PhD, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.