Provider Demographics
NPI:1972755312
Name:APPLIED BEHAVIOR ANALYSIS NASHVILLE, LLC
Entity type:Organization
Organization Name:APPLIED BEHAVIOR ANALYSIS NASHVILLE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ELEANOR
Authorized Official - Last Name:RAUSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:615-442-7988
Mailing Address - Street 1:616 HOLT RUN CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8571
Mailing Address - Country:US
Mailing Address - Phone:615-442-7988
Mailing Address - Fax:
Practice Address - Street 1:616 HOLT RUN CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8571
Practice Address - Country:US
Practice Address - Phone:615-442-7988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health