Provider Demographics
NPI:1770450579
Name:MCKEY, AARON R
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:R
Last Name:MCKEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OLD SHOAL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LEOMA
Mailing Address - State:TN
Mailing Address - Zip Code:38468-5705
Mailing Address - Country:US
Mailing Address - Phone:931-655-6963
Mailing Address - Fax:
Practice Address - Street 1:109 HIGH AVE
Practice Address - Street 2:
Practice Address - City:ETHRIDGE
Practice Address - State:TN
Practice Address - Zip Code:38456-2012
Practice Address - Country:US
Practice Address - Phone:931-655-6963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician