MEDICARE: KRISH PATEL

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	106E00000X	Assistant Behavior Analyst	74	TN

General Provider Information

NPI Number	:	1972212405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISH PATEL

Provider Business Mailing Address
First Line	:	3471 STAGECOACH DR
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-7839
Country	:	US
Telephone Number	:	615-926-3461
Fax Number	:

Provider Business Practice Location Address
First Line	:	3471 STAGECOACH DR
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-7839
Country	:	US
Telephone Number	:	615-926-3461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2022
Last Update Date	:	11/10/2025

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Directions to “ KRISH PATEL ” Practice Location

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