1578222147 NPI number — FILLING IN THE GAPS ABA THERAPY CENTER INC.

Table of content: JENNIFER LYNN FRANK RDH (NPI 1306361688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578222147 NPI number — FILLING IN THE GAPS ABA THERAPY CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FILLING IN THE GAPS ABA THERAPY CENTER INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578222147
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4397 WHISPER SPRING DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLLIERVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38017-8547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-230-9580
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4397 WHISPER SPRING DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLLIERVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38017-8547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-230-9580
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/10/2021

Additional Information

Authorized Official

Authorized Official Last Name:
CHALMERS
Authorized Official First Name:
NIKITA
Authorized Official Middle Name:
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
901-230-9580

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com