Provider Demographics
NPI:1851145981
Name:ABBOTT, JAMES ARTHUR (RBT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ARTHUR
Last Name:ABBOTT
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
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Mailing Address - Street 1:1880 OLD HIGHWAY 51 SOUTH, SUITE F
Mailing Address - Street 2:1880 OLD HIGHWAY 51 SOUTH, SUITE F
Mailing Address - City:BRIGHTON
Mailing Address - State:TN
Mailing Address - Zip Code:38011
Mailing Address - Country:US
Mailing Address - Phone:901-290-3916
Mailing Address - Fax:
Practice Address - Street 1:1880 OLD HIGHWAY 51 SOUTH, SUITE F
Practice Address - Street 2:1880 OLD HIGHWAY 51 SOUTH, SUITE F
Practice Address - City:BRIGHTON
Practice Address - State:TN
Practice Address - Zip Code:38011-8025
Practice Address - Country:US
Practice Address - Phone:901-290-3916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNRBT-24-340967106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician