Healthcare Provider Details

I. General information

NPI: 1245161827
Provider Name (Legal Business Name): BEAMING KIDS TN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 POPLAR AVE
MEMPHIS TN
38119-3981
US

IV. Provider business mailing address

6000 POPLAR AVE STE 250
MEMPHIS TN
38119-3974
US

V. Phone/Fax

Practice location:
  • Phone: 848-525-2305
  • Fax:
Mailing address:
  • Phone: 848-525-2305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AVRAHAM YORMARK
Title or Position: DIRECTOR
Credential:
Phone: 848-525-2305