Provider Demographics
NPI:1881324036
Name:3BA CONSULTANTS
Entity type:Organization
Organization Name:3BA CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:CHANDREL
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:731-343-2484
Mailing Address - Street 1:PO BOX 11202
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38308-0120
Mailing Address - Country:US
Mailing Address - Phone:731-343-2484
Mailing Address - Fax:
Practice Address - Street 1:123 MCINTOSH DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-8741
Practice Address - Country:US
Practice Address - Phone:731-343-2484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-12
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty