Healthcare Provider Details

I. General information

NPI: 1497674436
Provider Name (Legal Business Name): BELLINDA PAUL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5380 HICKORY HOLLOW PKWY
ANTIOCH TN
37013-3128
US

IV. Provider business mailing address

2328 VALVERDE WAY
MURFREESBORO TN
37127-3013
US

V. Phone/Fax

Practice location:
  • Phone: 615-553-8040
  • Fax:
Mailing address:
  • Phone: 615-606-4291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-542421
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: