# QUALITY BEHAVIORAL INTERVENTIONS AND CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962106138
- **Authorized official:** MR. CEDRIC D NELSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (901) 282-5490

## Contact information

- **Practice address:** 128 WALNUT RIDGE LN, CORDOVA, TN 38018-6947
- **Practice address phone:** (901) 282-5490
- **Mailing address:** 128 WALNUT RIDGE LN, CORDOVA, TN 38018-6947
- **Mailing address phone:** (901) 282-5490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 03/29/2023
- **Last updated:** 04/05/2023