UP-WARD ABA (NPI# 1023566999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023566999 |
Entity Type | Organization |
Organization Name | UP-WARD ABA |
Practice Address |
2068 Evelyn Ave Memphis TN 38104-5416 |
Practice Telephone | 9013084762 |
Practice Fax Number | 9012340221 |
Mailing Telephone | 9013084762 |
Mailing Fax Number | 9012340221 |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |
Authorized Official Name | MS. BRANDEE LYNN MASTERSON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7312341873 |
Authorized Official Credential | MS, BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 1-14-17291 | CO | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q019056 | 05 |
Street Address |
2068 EVELYN AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38104-5416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053827048 | Carie Daniel | Behavior Technician | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2017-12-28 |
1144732355 | Kyle R Nilsson | Behavior Technician | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2017-10-27 |
1578075792 | Jamesa Yvette Alston | Behavior Technician | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2017-10-27 |
1730691957 | Santimer D Ventura-toribio | Behavior Technician | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2017-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
Find all providers in zip 38104 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740889823 | Infinite Changes Aba Therapy & Autism Services | Community/Behavioral Health | 5115 Covington Way Ste 5, Memphis, TN 38134-5619 | 2020-10-20 |
1922643220 | Rs Medical Services Ltd | Community/Behavioral Health | 2700 Jackson Ave Bldg 1, Memphis, TN 38108-3330 | 2019-11-10 |
1790337699 | Clean, Inc. | Community/Behavioral Health | 3146 Write Pl Apt 4, Memphis, TN 38128-4535 | 2019-07-10 |
1861050882 | Divine Trinity Outreach Center | Community/Behavioral Health | 4670 Mary Angela Rd, Memphis, TN 38109-4802 | 2019-06-04 |
1740749175 | Sunflower Counseling Service Pllc | Community/Behavioral Health | 6628 Elmore Woods Cv, Memphis, TN 38134-4745 | 2019-03-15 |
1548730914 | Giles Therapeutic Solutions | Community/Behavioral Health | 4234 Sunnyslope Dr, Memphis, TN 38141-7063 | 2018-11-28 |
1184165953 | Dr.lopez Spiritual Family Counseling | Community/Behavioral Health | 4615 Meadow Cliff Dr, Memphis, TN 38125-3274 | 2017-03-13 |
1528519634 | Bruce Professional Counseling Services | Community/Behavioral Health | 8159 Green Belt Dr, Memphis, TN 38125-4618 | 2016-10-24 |
1336690916 | Ameer Homecare Services,llc | Community/Behavioral Health | 119 Racine St, Suite 103, Memphis, TN 38111-2704 | 2016-10-19 |
1104284363 | Get Recovered Ministries | Community/Behavioral Health | 5830 Mount Moriah Rd Ste 10, Memphis, TN 38115-1628 | 2016-02-03 |
Find all providers in MEMPHIS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.