Organization Active NPI

Inspired ABA, PLLC

  • Behavior Analyst
  • Johnson City, TN
National Provider Identifier
1992443899
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INSPIRED ABA, PLLC
Practice address
3004 Vicksburg Rd
Johnson City, TN 37604-6388
Phone
(931) 302-9723
Fax
(844) 440-1982
NPI assigned
May 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Authorized official

Name
Elizabeth Schellhammer, BCBCA, LBANPI 1508525189
Title
Owner
Phone
(931) 302-9723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

3004 Vicksburg Rd
Johnson City, TN 37604-6388

Mailing address

3004 Vicksburg Rd
Johnson City, TN 37604-6388
Phone (931) 302-9723

Other identifiers 1

IdentifierTypeStateIssuer
Q073486MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653177600000",
    "number": "1992443899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 VICKSBURG RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046388",
            "telephone_number": "931-302-9723",
            "fax_number": "844-440-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 VICKSBURG RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046388",
            "telephone_number": "931-302-9723",
            "fax_number": "844-440-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED ABA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A",
        "authorized_official_last_name": "SCHELLHAMMER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-302-9723",
        "authorized_official_credential": "BCBCA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q073486",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; 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.