MICHAEL RYAN DIVINE BCBA
NPI 1033611181
Behavior Analyst in Clarksville, TN
- Individual
- Male
- Behavior Analyst
- Accepts Insurance
About MICHAEL DIVINE
This page provides the complete NPI Profile along with additional information for Michael Divine, a provider established in Clarksville, Tennessee with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1033611181 assigned on March 2018. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1033611181 Verify this NPI
- Provider Name
- MICHAEL RYAN DIVINE BCBA
- Other Name
- MICHAEL RYAN OLDFIELD RBT
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3441 FORT CAMPBELL BLVD STE F3 CLARKSVILLE, TN 37042
- Location Phone
- (931) 449-0063
- Location Fax
- (931) 896-2737
- Mailing Address
- 3441 FORT CAMPBELL BLVD STE F3 CLARKSVILLE, TN 37042
- Mailing Phone
- (931) 449-0063
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-05-2018
- Last Update Date
- 09-25-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | RBT-16-17545 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B15E $0 virtual care from Teladoc Health� - EPO
- BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross B17E $0 virtual care from Teladoc Health� + Adult Dental - EPO
- BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health� + Adult Dental - EPO
- BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health� - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1-19-38668 | OTHER (01) | BEHAVIOR ANALYST CERTIFICATION BOARD (BACB) | |
| RBT-16-17545 | OTHER (01) | TN | BACB |
Reviews for MICHAEL RYAN DIVINE BCBA
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CLARKSVILLE, TN 37042
CLARKSVILLE, TN 37042
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033611181, enumerated as an "individual" on March 05, 2018.
The provider is located at 3441 FORT CAMPBELL BLVD STE F3 CLARKSVILLE, TN 37042 and the phone number is (931) 449-0063.
Behavior Analyst with taxonomy code 103K00000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.
