Active NPI
Positive Behavior Support
- Behavior Technician
- Nashville, TN
National Provider Identifier
1912609892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Legal business name
- POSITIVE BEHAVIOR SUPPORT
- Practice address
- 2717 Edge O Lake Dr
Nashville, TN 37217-4054 - Phone
- (615) 854-7535
- NPI assigned
- Mar 21, 2023
- Last updated
- Mar 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Latoya Imagill
- Title
- Bcba
- Phone
- (185) 583-2672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2717 Edge O Lake Dr
Nashville, TN 37217-4054
Mailing address
1001 Mason Tucker Dr Apt I70
Smyrna, TN 37167-5615
Phone (424) 542-9922
Other names 1
- PBS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679356800000",
"number": "1912609892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MASON TUCKER DR APT I70",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675615",
"telephone_number": "424-542-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 EDGE O LAKE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372174054",
"telephone_number": "615-854-7535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE BEHAVIOR SUPPORT",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A",
"authorized_official_last_name": "IMAGILL",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "BCBA",
"authorized_official_telephone_number": "185-583-2672",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PBS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.