Healthcare Provider Details

I. General information

NPI: 1205682291
Provider Name (Legal Business Name): BAILEY ANDRESSEN COPELAND BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 GLEN ECHO RD UNIT 158404
NASHVILLE TN
37215-3071
US

IV. Provider business mailing address

1906 GLEN ECHO RD UNIT 158404
NASHVILLE TN
37215-3071
US

V. Phone/Fax

Practice location:
  • Phone: 504-251-3620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number99
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: