Provider Demographics
NPI:1417782848
Name:NUBY, ADARIUS RASHAD
Entity type:Individual
Prefix:
First Name:ADARIUS
Middle Name:RASHAD
Last Name:NUBY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3116
Mailing Address - Country:US
Mailing Address - Phone:865-318-4535
Mailing Address - Fax:
Practice Address - Street 1:910 JACKSON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3116
Practice Address - Country:US
Practice Address - Phone:865-318-4535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician