Healthcare Provider Details

I. General information

NPI: 1326320136
Provider Name (Legal Business Name): PASTICHE PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 04/14/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 WESTERLY DR
FRANKLIN TN
37067-8594
US

IV. Provider business mailing address

3031 WESTERLY DR
FRANKLIN TN
37067-8594
US

V. Phone/Fax

Practice location:
  • Phone: 615-663-8872
  • Fax: 615-628-8935
Mailing address:
  • Phone: 615-663-8872
  • Fax: 615-628-8935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: TAMAR AGNES ROBINSON
Title or Position: PARTNER
Credential: M.ED., LBA, BCBA
Phone: 615-663-8872