Healthcare Provider Details
I. General information
NPI: 1801430764
Provider Name (Legal Business Name): AUTUMN PAIGE FINLEY M.S., BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/04/2019
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4721 TROUSDALE DR STE 206
NASHVILLE TN
37220-1372
US
IV. Provider business mailing address
1780 OLD LAFAYETTE RD
HARTSVILLE TN
37074-3304
US
V. Phone/Fax
- Phone: 615-852-5955
- Fax:
- Phone: 615-680-2302
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | LBA0000001369 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: