Provider Type Icon

COMMUNITY DEVELOPMENT CENTER NPI 1891145678


NPI Information

NPI: 1891145678
Provider Name: COMMUNITY DEVELOPMENT CENTER

Doing Business As: CHILD DEVELOPMENT CENTER

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 44D1016075

Address:
1600 JASON MAXWELL BLVD
LEWISBURG, TN
ZIP 37091
Phone: (931) 359-1197
Get Directions

COMMUNITY DEVELOPMENT CENTER is a behavior analyst in Lewisburg, TN. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. COMMUNITY DEVELOPMENT CENTER NPI is 1891145678. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Child Development Center.

The provider's business location address is:

1600 JASON MAXWELL BLVD
LEWISBURG, TN
ZIP 37091-018
Phone: (931) 359-1197

The provider's authorized official is Robert Jacobi .
The authorized official title is Business Manager and has the following contact phone number (931) 684-8681.

The CLIA number assigned to this NPI record is 44D1016075 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2016 and was last updated on 11/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes
2253Z00000XIn Home Supportive CareNo
3106S00000XBehavior TechnicianNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.