Organization Active NPI

Positive Behavior Support

  • Behavior Technician
  • Nashville, TN
National Provider Identifier
1912609892
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.