Healthcare Provider Details
I. General information
NPI: 1841990074
Provider Name (Legal Business Name): BEHAVIOR SPOT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
398 PAINT ROCK ROAD
ONEIDA TN
37841
US
IV. Provider business mailing address
398 PAINT ROCK RD STE 3
ONEIDA TN
37841-6083
US
V. Phone/Fax
- Phone: 423-215-8080
- Fax:
- Phone: 423-374-1009
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2355S0801X |
| Taxonomy | Speech-Language Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABBY
YOUNG
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: BCBA, LBA
Phone: 423-374-1009