FULL SPECTRUM ABA OF TENNESSEE LLC (NPI# 1033753801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033753801 |
| Entity Type | Organization |
| Organization Name | FULL SPECTRUM ABA OF TENNESSEE LLC |
| Practice Address |
5810 Shelby Oaks Dr Ste B Memphis TN 38134-7315 |
| Practice Telephone | 8139265454 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | COLLIN EDWARD STREETMAN (OWNER) |
| Authorized Official Telephone | 8139265454 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
5810 SHELBY OAKS DR STE B |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134-7315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912432774 | Chelaia Gray | Nurse Practitioner | 5810 Shelby Oaks Dr Ste B, Memphis, TN 38134-7315 | 2017-04-28 |
| 1558987255 | Jireh Health Services | Family Medicine | 5810 Shelby Oaks Dr Ste B, Memphis, TN 38134-7315 | 2020-06-18 |
| 1063042166 | Tullahoma Pediatric Therapy, LLC | Occupational Therapist | 5810 Shelby Oaks Dr Ste B, Memphis, TN 38134-7315 | 2020-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644366 | Jaded Lotus Aba LLC | Behavioral Analyst | 3834 Ginkgo Ln Apt 206, Memphis, TN 38125-6538 | 2020-03-18 |
| 1285274340 | Carolyn Timm | Behavioral Analyst | 6685 Quince Rd Ste 120, Memphis, TN 38119-8037 | 2020-01-07 |
| 1700420056 | Aba Therapy & Beyond | Behavioral Analyst | 5115 Covington Way, Suite 5, Memphis, TN 38134-5619 | 2019-10-30 |
| 1225695729 | Annie Cornelius | Behavioral Analyst | 4005 N Park Loop, Memphis, TN 38152-4220 | 2019-05-21 |
| 1043875602 | Rachel Carolyn Joyner | Behavioral Analyst | 5349 Estate Office Dr Ste 2, Memphis, TN 38119-3619 | 2019-05-08 |
| 1730647082 | Shanice P Claybrooks | Behavioral Analyst | 7112 Winding Path Cv, Memphis, TN 38133-6116 | 2019-03-06 |
| 1336603117 | Trudy Brewer | Behavioral Analyst | 1570 Lightwood Cv, Memphis, TN 38134-7426 | 2019-01-26 |
| 1407358609 | Momentum Aba Therapy | Behavioral Analyst | 2125 Leichester Ln, Memphis, TN 38134-6971 | 2018-03-03 |
| 1710494034 | Sabrina Aquinn Wilson | Behavioral Analyst | 1197 Tanglewood St, Memphis, TN 38114-6742 | 2018-01-08 |
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 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.