Active NPI
Deborah A Stricklin, BCBA
- Behavior Analyst
- Memphis, TN
National Provider Identifier
1972884146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-118319
- Practice address
- 1433 Vance Ave
Memphis, TN 38104-6710 - Phone
- (901) 603-8088
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-118319 | TN | Primary |
Addresses
Primary practice location
1433 Vance Ave
Memphis, TN 38104-6710
Mailing address
1433 Vance Ave
Memphis, TN 38104-6710
Phone (901) 603-8088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-11-8319 | Other | TN | BCBA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-118319 | TN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1972884146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 VANCE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046710",
"telephone_number": "901-603-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 VANCE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046710",
"telephone_number": "901-603-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKLIN",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1-118319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-11-8319",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.