Stephanie Nicole Bailey, BCBA
Individual provider Active NPI Behavior Analyst · Clarksville, TN
NPI 1902258759 · NPPES record last updated Apr 29, 2022
Key facts
- NPI
- 1902258759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-16-24739
- Practice address
- 1536 Gratton Rd
Clarksville, TN 37043-6116 - Phone
- (931) 614-5271
- NPI assigned
- Jul 5, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112 | TN | MD | Professional Counselor |
| 268969 | KY | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 268969 | KY | |
| Behavior Analyst | 103K00000X | 112 | TN | |
| Behavior Analyst | 103K00000X | 1-16-24739 | Yes |
Addresses
Primary practice location
1536 Gratton Rd
Clarksville, TN 37043-6116
Mailing address
2519 Elkmont Dr
Clarksville, TN 37040-2866
Phone (712) 209-3213
Other practice location 1
1253 Judge Tyler Dr
Clarksville, TN 37043-1423
Phone (931) 449-0063
Other providers in Clarksville, TN
- Coursheka Bailey
- Courtney Bailey
- David Samuel Bailey
- Margaret Kathleen Bailey
- Paris S Bailey III
- Emily Bailor
- Heidi Bainbridge
- Katie Baine
- Amber Sharee Baker
- Bethany Baker
All providers in Clarksville, 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 Apr 29, 2022. 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.