Healthcare Provider Details
I. General information
NPI: 1497668347
Provider Name (Legal Business Name): LANTERN & STAFF, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1635 BRYSON CV APT 7310
THOMPSONS STATION TN
37179-2333
US
IV. Provider business mailing address
1635 BRYSON CV APT 7310
THOMPSONS STATION TN
37179-2333
US
V. Phone/Fax
- Phone: 731-437-0292
- Fax:
- Phone: 731-437-0292
- 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:
HAYLEE
COOK
Title or Position: CLINICAL DIRECTOR
Credential: MS, BCBA, LBA
Phone: 731-437-0292