Alissa Jean Vaughn, BEHAVIOR HEALTH
Individual provider Active NPI Behavior Technician · Byrdstown, TN
NPI 1902618705 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1902618705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 105 Taylor Dr
Byrdstown, TN 38549-2414 - Phone
- (931) 704-5155
- NPI assigned
- Jan 21, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | TN | Yes |
Addresses
Primary practice location
105 Taylor Dr
Byrdstown, TN 38549-2414
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912670464 | Medicaid | FL |
Other providers in Byrdstown, TN
- Jori Lynne Shaffer
- State of Tennessee
- Douglas Reed Stephenson
- James Paul Tompkins
- Upper Cumberland Rural Health Clinic PLLC
- White Buffalo Health, PLLC
- Jeffrey Chase Young
All providers in Byrdstown, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. 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.