Healthcare Provider Details
I. General information
NPI: 1275225385
Provider Name (Legal Business Name): FUNCTION-BASED LEARNING & INSTRUCTIONAL PRACTICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2023
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
- Phone: 504-251-3620
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BAILEY
ANDRESSEN
COPELAND
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 615-568-0069