Provider Demographics
NPI:1801428578
Name:EVERYTHING ABA BEHAVIOR SUPPORT & CONSULTING
Entity type:Organization
Organization Name:EVERYTHING ABA BEHAVIOR SUPPORT & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:MUCHUKOT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:615-631-8008
Mailing Address - Street 1:625 BAKERS BRIDGE AVE STE 105-21
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1613
Mailing Address - Country:US
Mailing Address - Phone:615-631-8008
Mailing Address - Fax:615-503-8411
Practice Address - Street 1:754 FRENCH RIVER RD
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9636
Practice Address - Country:US
Practice Address - Phone:615-631-8008
Practice Address - Fax:615-503-8411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1093965667OtherNPI
TN1523796Medicaid
TN1639311376OtherNPI