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MAGNOLIA ABA INSTITUTE INC NPI 1205380920


NPI Information

NPI: 1205380920
Provider Name: MAGNOLIA ABA INSTITUTE, INC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 44D2198595

Address:
279 CLEAR SKY CT
SUITE C
CLARKSVILLE, TN
ZIP 37043
Phone: (615) 613-1869
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MAGNOLIA ABA INSTITUTE, INC is a behavior analyst in Clarksville, TN. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. MAGNOLIA ABA INSTITUTE, INC NPI is 1205380920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

279 CLEAR SKY CT
SUITE C
CLARKSVILLE, TN
ZIP 37043-946
Phone: (615) 613-1869
Fax: (931) 443-0203

The provider's authorized official is David G Martin .
The authorized official title is Executive Director and has the following contact phone number (615) 613-1869.

The CLIA number assigned to this NPI record is 44D2198595 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2016 and was last updated on 8/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior Analyst000856685TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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