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AMAZE BEHAVIOR THERAPY
NPI 1619379542
Behavior Analyst in Cleveland, TN

Active since September 23, 2014
3505 ADKISSON DR NW, SUITE 208, CLEVELAND, TN 37312(423) 322-8796(423) 473-6721 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amaze Behavior Therapy NPPES

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

AMAZE BEHAVIOR THERAPY (NPI 1619379542) is a healthcare organization registered as a behavior analyst in Cleveland, Tennessee and active in the NPI registry since September 2014. The organization lists Carrie Eileen Walls, Owner/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1619379542
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameAMAZE BEHAVIOR THERAPY
Location Address3505 ADKISSON DR NW, SUITE 208Cleveland, TN 37312-6803
Mailing Address3505 Adkisson Dr Nw, Suite 208Cleveland, TN 37312-6803 · (423) 322-8796 · Fax (423) 473-6721
Phone(423) 322-8796
Fax(423) 473-6721
Organization SubpartNo
Authorized OfficialCarrie Eileen WallsOwner/clinical Director · (423) 322-8796
Enumeration DateSeptember 23, 2014
✔ NPI 1619379542 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 · 1-12-11707
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.
3505 ADKISSON DR NW, Cleveland, TN 37312
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Other Identifiers 1

Medicaid1528677TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CATHY JOANNE JOHNSON
Technician (Personal Care Attendant)
3505 ADKISSON DR NW
CLEVELAND, TN 37312
Bradley County (423) 790-0568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amaze Behavior Therapy's NPI number?

The NPI number for Amaze Behavior Therapy is 1619379542. It was assigned to this organization in the NPPES registry on September 23, 2014.

Where is Amaze Behavior Therapy located?

Amaze Behavior Therapy is located at 3505 Adkisson Dr NW Suite 208, Cleveland, TN 37312. The listed phone number is (423) 322-8796.

What is Amaze Behavior Therapy's specialty?

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

When was this NPI record last updated?

The NPPES record for Amaze Behavior Therapy was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.