CAROLYN TIMM (NPI# 1285274340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285274340 |
| Entity Type | Individual |
| Full Name | CAROLYN TIMM |
| Credential | BCBA |
| Practice Address |
6685 Quince Rd Ste 120 Memphis TN 38119-8037 |
| Mailing Address |
1407 Union Ave Ste 1407 Memphis TN 38104-3680 |
| Practice Telephone | 9015675361 |
| Mailing Telephone | 9012769606 |
| Mailing Fax Number | 9012769607 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-40414 | TN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 309 N Church Ave Ste 103, Dyersburg, TN 380243013 | 7314993480 | 9012769607 |
| Street Address |
6685 QUINCE RD STE 120 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-8037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659988582 | Rebekah White | Behavioral Analyst | 6685 Quince Rd Ste 120, Memphis, TN 38119-8037 | 2020-09-24 |
| 1134731821 | Autism Centers of Tennessee | Behavioral Analyst | 6685 Quince Rd Ste 120, Memphis, TN 38119-8037 | 2020-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1023644366 | Jaded Lotus Aba LLC | Behavioral Analyst | 3834 Ginkgo Ln Apt 206, Memphis, TN 38125-6538 | 2020-03-18 |
| 1700420056 | Aba Therapy & Beyond | Behavioral Analyst | 5115 Covington Way, Suite 5, Memphis, TN 38134-5619 | 2019-10-30 |
| 1225695729 | Annie Cornelius | Behavioral Analyst | 4005 N Park Loop, Memphis, TN 38152-4220 | 2019-05-21 |
| 1043875602 | Rachel Carolyn Joyner | Behavioral Analyst | 5349 Estate Office Dr Ste 2, Memphis, TN 38119-3619 | 2019-05-08 |
| 1730647082 | Shanice P Claybrooks | Behavioral Analyst | 7112 Winding Path Cv, Memphis, TN 38133-6116 | 2019-03-06 |
| 1336603117 | Trudy Brewer | Behavioral Analyst | 1570 Lightwood Cv, Memphis, TN 38134-7426 | 2019-01-26 |
| 1407358609 | Momentum Aba Therapy | Behavioral Analyst | 2125 Leichester Ln, Memphis, TN 38134-6971 | 2018-03-03 |
| 1710494034 | Sabrina Aquinn Wilson | Behavioral Analyst | 1197 Tanglewood St, Memphis, TN 38114-6742 | 2018-01-08 |
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1518476860 | Candi Carmel Edwards | Behavioral Analyst | 5438 Enid Ave, Memphis, TN 38115-2810 | 2017-09-29 |
| Find all providers in MEMPHIS | ||||
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| 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.