Provider Demographics
NPI:1235647272
Name:ALL ABOUT BEHAVIOR LLC
Entity Type:Organization
Organization Name:ALL ABOUT BEHAVIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LBA
Authorized Official - Prefix:
Authorized Official - First Name:DACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LBA, BCBA
Authorized Official - Phone:770-883-6613
Mailing Address - Street 1:694 HUNTINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5917
Mailing Address - Country:US
Mailing Address - Phone:770-883-6613
Mailing Address - Fax:615-301-8160
Practice Address - Street 1:694 HUNTINGTON PKWY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5917
Practice Address - Country:US
Practice Address - Phone:770-883-6613
Practice Address - Fax:615-301-8160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLBA10000000186103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ031880Medicaid