Organization
ACTUAL BEHAVIOR CHANGE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY HOLTON LBA, BCBA, MS (OWNER)
(615) 916-0664
Entity
Organization
Contact information
Practice address
73 WHITE BRIDGE RD, STE. 103-232, NASHVILLE, TN 37205-1444
(615) 916-0664
(615) 953-2949
Mailing address
73 WHITE BRIDGE RD, STE. 103-232, NASHVILLE, TN 37205-1444
(615) 916-0664
(615) 953-2949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527661
—
TN
Enumeration date
02/06/2012
Last updated
02/28/2025
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