Tracy Leane Palm in Bartlett - Behavior Analyst
Tracy Leane Palm - NPI 1639392046
Tracy Leane Palm is a Behavior Analyst in Bartlett, Tennessee. Tracy Leane Palm practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Tracy Leane Palm is 1639392046. The last update date is 2023-11-20.
Tracy Leane Palm's current location address is 4703 Oak Rd, Bartlett, Tennessee. You can contact this provider via phone number 9015865333 and fax number 9015043040. The mailing address for Tracy Leane Palm is 4703 Oak Rd, Bartlett, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Leane Palm |
|---|---|
| Address | 4703 Oak Rd, Bartlett, Tennessee |
| Phone Number | 9015865333 |
| Fax Number | 9015043040 |
| Sole Proprietor | Y |
| Credentials | M.S., B.C. |
NPI Number Detail
| NPI Number | 1639392046 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2023-11-20 |
Provider Mailing Address Detail
| Address | 4703 Oak Rd |
|---|---|
| City | Bartlett |
| State | Tennessee (TN) |
| Post Code | 380029742 |
| Phone Number | 9015865333 |
| Fax Number | 9015043040 |
Provider's Primary Taxonomy Detail
| Speciality | Behavior Analyst |
|---|---|
| Taxonomy | 103K00000X |
| Licence No | LBA000000026 |
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Definition: 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 requi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205510099 | IRS |
Post Comment/ Review Below
What is the Tracy Leane Palm's 1639392046?
The Tracy Leane Palm's NPI (National Provider Identifier) Number is 1639392046. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Tracy Leane Palm is located?
The Tracy Leane Palm is situated at the following address: 4703 Oak Rd, Bartlett, TN, 380029742.
What is Tracy Leane Palm's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy Leane Palm's specialized field of practice is Behavior Analyst, and the corresponding taxonomy code that categorizes this area of specialization is 103K00000X.
When did the Tracy Leane Palm receive its 1639392046?
The Tracy Leane Palm was issued its 1639392046 on 2007-04-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Tracy Leane Palm last refreshed?
The information related to the Tracy Leane Palm, including its address, specialty, and other relevant details, was last updated on 2023-11-20.
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