MEDICARE: APPLIED BEHAVIOR ADVISORS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1598563934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLIED BEHAVIOR ADVISORS, LLC

Provider Business Mailing Address
First Line	:	787 DUNK BLANTON RD
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-5925
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	787 DUNK BLANTON RD
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-5925
Country	:	US
Telephone Number	:	317-409-4564
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLEY BALDWIN
Credential	:	MA, BCBA, LBA
Telephone Number	:	317-409-4564

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/31/2026

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Directions to “APPLIED BEHAVIOR ADVISORS, LLC ” Practice Location

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