Tamara Bass

Individual provider Active NPI Behavior Technician · Mt Juliet, TN

NPI 1982370516 · NPPES record last updated Aug 23, 2021

Key facts

NPI
1982370516
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1535 N Mount Juliet Rd
Mt Juliet, TN 37122-3315
Phone
(615) 560-6622
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Joybridge LLC Past
since Aug 29, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1535 N Mount Juliet Rd
Mt Juliet, TN 37122-3315

Mailing address

1409 Market SQ
Hermitage, TN 37076-3327

Other providers in Mt Juliet, TN

All providers in Mt Juliet, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.