Mccord, Brandon Elllis

Mccord, Brandon Elllis is an sole proprietor health care provider with primary practice located at 6132 Ainsworth St , Bartlett TN 38134-3576. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Mccord, Brandon Elllis can be contacted via phone (901) 497-0384.

Contact Information

Primary practice address
6132 Ainsworth St Bartlett TN 38134-3576
Phone: (901) 497-0384
Fax: (866) 823-6014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1285815274
LBN Legal business name Mccord, Brandon Elllis
Credentials M.S., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2007
Last updated Dec 2nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285815274 NPPES
Tennessee MEDICAID 00884

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