Provider Demographics
NPI:1083047849
Name:FLANNERY-REILLY, ADRIENNE COSCIA (MED, BCBA)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:COSCIA
Last Name:FLANNERY-REILLY
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 MANSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3516
Mailing Address - Country:US
Mailing Address - Phone:615-542-9554
Mailing Address - Fax:
Practice Address - Street 1:1030 MANSFIELD AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3516
Practice Address - Country:US
Practice Address - Phone:615-542-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst