Common Ground Cooperative

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11219240 Issued in TN

Legal business name

COMMON GROUND COOPERATIVE

Practice address

2309 Scott Ave
Nashville, TN 37216-3119

Phone

(615) 431-3763

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Heidi Snow-Witzeman, BCBA

Title

Executive Director

Phone

(615) 431-3763

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Allison Olive

  • Behavior Analyst
  • Clarksville, TN
  • NPI 1659809978
  NPD (past)

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1831634617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 SCOTT AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 SCOTT AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163119",
            "telephone_number": "615-431-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "SNOW-WITZEMAN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-431-3763",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "11219240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Nashville, TN
• Providers in Nashville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.