Provider Demographics
NPI:1780821553
Name:PINARDI, BRIAN (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:PINARDI
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 HICKORY HILL LN
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1930
Mailing Address - Country:US
Mailing Address - Phone:615-902-0950
Mailing Address - Fax:
Practice Address - Street 1:1004 HICKORY HILL LN
Practice Address - Street 2:SUITE 4
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-1930
Practice Address - Country:US
Practice Address - Phone:615-902-0950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist