Charles Taylor, BCBA, LBA
Individual provider Active NPI Behavior Analyst · Spring City, TN
NPI 1831691740 · NPPES record last updated Mar 6, 2018
Key facts
- NPI
- 1831691740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 357 (TN)
- Practice address
- 196 Broyles Rd
Spring City, TN 37381-5406 - Phone
- (423) 508-2374
- NPI assigned
- Mar 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 357 | TN | Yes |
Addresses
Primary practice location
196 Broyles Rd
Spring City, TN 37381-5406
Mailing address
196 Broyles Rd
Spring City, TN 37381-5406
Phone (423) 508-2374
Other providers in Spring City, TN
- Spring City Family Clinic PLLC
- Spring City Family Medicine PLLC
- Spring City Pharmacy Inc
- Spring City Walk in Medical Center, LLC
- Stacy J Spurlin
- Vision Healthcare Solutions LLC
- John Yager
- Jonathan Seth Zimmerman
All providers in Spring City, TN · Behavior Analyst in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.