Healthcare Provider Details

I. General information

NPI: 1932048774
Provider Name (Legal Business Name): PARIS DRAYTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3777 EDENBURG DR
MEMPHIS TN
38127-4717
US

IV. Provider business mailing address

7895 BRADY CREEK CV
CORDOVA TN
38016-8835
US

V. Phone/Fax

Practice location:
  • Phone: 901-609-3611
  • Fax:
Mailing address:
  • Phone: 901-720-6220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-517225
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: