Provider Demographics
NPI:1194519058
Name:THRIVE ABA AND FEEDING SOLUTIONS
Entity type:Organization
Organization Name:THRIVE ABA AND FEEDING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATILYN
Authorized Official - Middle Name:BROOK
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:931-704-6952
Mailing Address - Street 1:1521 LAKE CREST CIR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-5943
Mailing Address - Country:US
Mailing Address - Phone:931-704-6952
Mailing Address - Fax:
Practice Address - Street 1:1521 LAKE CREST CIR
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-5943
Practice Address - Country:US
Practice Address - Phone:931-704-6952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty