Provider Demographics
NPI:1326614470
Name:THOMASHILL BEHAVIOR TRAINING INNOVATIONS, LLC
Entity Type:Organization
Organization Name:THOMASHILL BEHAVIOR TRAINING INNOVATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS-HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:901-550-3974
Mailing Address - Street 1:970 HUNTERS POINT DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-5875
Mailing Address - Country:US
Mailing Address - Phone:901-550-3974
Mailing Address - Fax:901-284-0811
Practice Address - Street 1:970 HUNTERS POINT DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-5875
Practice Address - Country:US
Practice Address - Phone:901-550-3974
Practice Address - Fax:901-284-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-30
Last Update Date:2021-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ065072Medicaid