Provider Demographics
NPI:1811360720
Name:NASHVILLE AUTISM SERVICES
Entity Type:Organization
Organization Name:NASHVILLE AUTISM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:CARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-426-3607
Mailing Address - Street 1:6656 HOLT RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6906
Mailing Address - Country:US
Mailing Address - Phone:615-426-3607
Mailing Address - Fax:
Practice Address - Street 1:6656 HOLT RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6906
Practice Address - Country:US
Practice Address - Phone:615-426-3607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty