Healthcare Provider Details

I. General information

NPI: 1023248101
Provider Name (Legal Business Name): BEHAVIOR ANALYSIS AND MANAGEMENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 07/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5238 STARNES DR
MURFREESBORO TN
37128-4594
US

IV. Provider business mailing address

5238 STARNES DR
MURFREESBORO TN
37128-4594
US

V. Phone/Fax

Practice location:
  • Phone: 615-512-6876
  • Fax:
Mailing address:
  • Phone: 615-512-6876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. SEAN GIBBONS
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: BCBA
Phone: 810-223-3946