Charles Taylor, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

357 Issued in TN

Practice address

196 Broyles Rd
Spring City, TN 37381-5406

Phone

(423) 508-2374

NPI assigned

Mar 6, 2018

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Apex ABA LLC

  • Behavior Analyst
  • Spring City, TN
  • NPI 1689176505
  Authorized official Same address or phone

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1831691740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BROYLES RD",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815406",
            "telephone_number": "423-508-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BROYLES RD",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815406",
            "telephone_number": "423-508-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARLES",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring City Family Clinic PLLC
• Spring City Family Medicine PLLC (William Thurman Bates III TTEE)
• Spring City Pharmacy Inc (Spring City Pharmacy)
• Spring City Walk in Medical Center, LLC
• Stacy J Spurlin, PTA
• Vision Healthcare Solutions LLC (Grace Primary Care Clinic)
• John Yager
• Jonathan Seth Zimmerman, PHARMD

• Behavior Analyst in Spring City, TN
• Providers in Spring City, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.