Provider Demographics
NPI:1992443899
Name:INSPIRED ABA, PLLC
Entity type:Organization
Organization Name:INSPIRED ABA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHELLHAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBCA, LBA
Authorized Official - Phone:931-302-9723
Mailing Address - Street 1:3004 VICKSBURG RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-6388
Mailing Address - Country:US
Mailing Address - Phone:931-302-9723
Mailing Address - Fax:844-440-1982
Practice Address - Street 1:3004 VICKSBURG RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6388
Practice Address - Country:US
Practice Address - Phone:931-302-9723
Practice Address - Fax:844-440-1982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-22
Last Update Date:2022-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ073486Medicaid