Individual provider Active NPI

Anne M Riedlinger, BCABA

  • Assistant Behavior Analyst
  • Clarksville, TN
National Provider Identifier
1942702097
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
01-18-9261 Issued in NU
Practice address
1253 Judge Tyler Dr
Clarksville, TN 37043-1423
Phone
(931) 449-0063
Fax
(931) 896-2737
NPI assigned
Mar 5, 2018
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 01-18-9261 NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1253 Judge Tyler Dr
Clarksville, TN 37043-1423

Mailing address

1253 Judge Tyler Dr
Clarksville, TN 37043-1423
Phone (931) 449-0063

Other identifiers 2

IdentifierTypeStateIssuer
01-18-9261OtherBEHAVIOR ANALYST CERTIFICATION BOARD (BACB)
RBT-17-34974OtherTNBACB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1942702097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 JUDGE TYLER DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431423",
            "telephone_number": "931-449-0063",
            "fax_number": "931-896-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 JUDGE TYLER DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431423",
            "telephone_number": "931-449-0063",
            "fax_number": "931-896-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDLINGER",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": "01-18-9261",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)",
            "identifier": "01-18-9261",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-17-34974",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.