MR. KIERAN MICHAEL POTTERTON
NPI 1578059911
Behavior Analyst in Knoxville, TN

Q: What is Kieran Potterton's NPI number?

The NPI number for Kieran Potterton is 1578059911. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Kieran Potterton's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Kieran Potterton was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2018

9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923(865) 394-6612(865) 315-7014 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2020, Jul 9, 2018 (2 updates tracked since 2018).

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About Mr. Kieran Michael Potterton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KIERAN MICHAEL POTTERTON (NPI 1578059911) is an individual behavior analyst provider in Knoxville, Tennessee, licensed in Tennessee (LBA0000000188) and active in the NPI registry since July 2018. He maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1578059911

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameMR. KIERAN MICHAEL POTTERTON

Location Address9038 CROSS PARK DR STE 105Knoxville, TN 37923-4729

Mailing Address3329 Grassy Pointe LnKnoxville, TN 37931-3698 · (865) 313-6785 · Fax (865) 315-7014

Phone(865) 394-6612

Fax(865) 315-7014

Sole ProprietorNo

Enumeration DateJuly 9, 2018

Last NPPES UpdateNovember 6, 20202 updates tracked since enumeration

NPPES CertifiedNovember 6, 2020

✔ NPI 1578059911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in TN · LBA0000000188

Definition

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.

9038 CROSS PARK DR STE 105, Knoxville, TN 37923

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Secondary Practice Location 1

Location 16116 Shallowford Rd Ste 201Chattanooga, TN 37421-7209 · Phone (423) 531-7497

Other Identifiers 2

Other1-18-30560Board Certified Behavior Analyst

OtherLBA0000000188TN · Licensed Behavior Analyst

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN T RODRIGUEZ RBT

Behavior Technician