AUTISM AND BEHAVIOR SERVICES (NPI# 1093980278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093980278 |
| Entity Type | Organization |
| Organization Name | AUTISM AND BEHAVIOR SERVICES |
| Practice Address |
3131 Quiet Creek Trl Chattanooga TN 37406-4009 |
| Practice Telephone | 4236640903 |
| Practice Fax Number | 4236029710 |
| Mailing Telephone | 4236640903 |
| Mailing Fax Number | 4236029710 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | MS. LAURA FORKUM (EXECUTIVE DIRECTOR/BEHAVIOR ANALYST) |
| Authorized Official Telephone | 4236640901 |
| Authorized Official Credential | PHD, BCBA-D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1509613 | 05 |
| Street Address |
3131 QUIET CREEK TRL |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37406-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093165417 | Jessica Shelley | Behavioral Analyst | 3131 Quiet Creek Trl, Chattanooga, TN 37406-4009 | 2016-06-16 |
| 1336398056 | Laura Forkum | Behavioral Analyst | 3131 Quiet Creek Trl, Chattanooga, TN 37406-4009 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497263164 | Care Med Ambulance LLC | Ambulance | 2511 Riverside Dr Ste B5, Chattanooga, TN 37406 | 2018-01-16 |
| 1124499959 | Maria Elena Ramantanin | Special Hospital | 2132 Amnicola Hwy, Chattanooga, TN 37406 | 2015-10-20 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1740512177 | Erin Michelle Harper | Nurse Practitioner | 1200 Dodson Avenue, Chattanooga, TN 37406 | 2010-02-10 |
| 1306047170 | Mary Nicole Crittenden | Physical Therapist | 1501 Riverside Dr. Suite 270, Chattanooga, TN 37406 | 2007-05-30 |
| 1083836761 | Mercury Cab Co. | Taxi | 901 Dodson Ave, Chattanooga, TN 37406 | 2007-05-03 |
| 1558491902 | Breezie Finley | Nurse Practitioner | 3167 Elmendorf Circle, Chattanooga, TN 37406 | 2007-03-06 |
| 1356400824 | Rebecca Lee Ingle Holden | Chiropractor | 4289 Bonny Oaks Dr Ste 107, Chattanooga, TN 37406 | 2006-12-08 |
| 1033195110 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 1501 Riverside Dr Ste 340, Chattanooga, TN 37406 | 2005-12-20 |
| 1982254991 | Sage Lauren Hutchison | Behavioral Analyst | 2826 Amnicola Hwy, Chattanooga, TN 37406 | 2019-09-12 |
| Find all providers in zip 37406 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227544 | Seedlings Applied Behavior Analysis | Behavioral Analyst | 1132 E Main St Ste 100, Chattanooga, TN 37408-1610 | 2020-02-20 |
| 1013390707 | Courtney Alise Barton | Behavioral Analyst | 6105 Preservation Dr Ste D, Chattanooga, TN 37416-3681 | 2015-06-30 |
| 1629473962 | Mattie Watson | Behavioral Analyst | 1119 Gillespie Rd, Chattanooga, TN 37411-1516 | 2014-10-29 |
| 1568809929 | Jeffery C Steimer | Behavioral Analyst | 4025 Oakwood Dr, #214, Chattanooga, TN 37416-2373 | 2013-05-25 |
| 1659612109 | Samantha Caitlin Bradley | Behavioral Analyst | 2826 Amnicola Hwy, Chattanooga, TN 37406-3605 | 2013-03-08 |
| 1750629754 | Anna Straussberger | Behavioral Analyst | 1400 Mccallie Ave, Chattanooga, TN 37404-2927 | 2013-01-25 |
| 1881292530 | Lydia Beth Harris | Behavioral Analyst | 2826 Amnicola Hwy, Chattanooga, TN 37406-3605 | 2020-10-14 |
| 1235746116 | Conor Obrien | Behavioral Analyst | 1101 Carter St, Chattanooga, TN 37402-5017 | 2020-09-25 |
| 1487260139 | Abs, LLC | Behavioral Analyst | 6105 Preservation Dr Ste D, Chattanooga, TN 37416-3681 | 2020-09-18 |
| 1790326106 | Nathan Daniel Dennis | Behavioral Analyst | 7446 Shallowford Rd Ste 116, Chattanooga, TN 37421-2352 | 2019-10-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37406 |
Please comment or provide details below to improve the information on AUTISM AND BEHAVIOR SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.