Provider Demographics
NPI:1285151902
Name:TENN'S APPLIED BEHAVIOR SCIENCE, LLC.
Entity type:Organization
Organization Name:TENN'S APPLIED BEHAVIOR SCIENCE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT- LEAD BEHAVIOR ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:TENNILLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:386-473-5648
Mailing Address - Street 1:2111 MAJESTIC EAGLE PL
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-1915
Mailing Address - Country:US
Mailing Address - Phone:386-473-5648
Mailing Address - Fax:
Practice Address - Street 1:2111 MAJESTIC EAGLE PL
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-1915
Practice Address - Country:US
Practice Address - Phone:386-473-5648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-17-25431103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty