LEE UNIVERSITY DEVELOPMENTAL INCLUSION CLASSROOMS (LUDIC)
NPI 1194100727
Behavior Analyst in Cleveland, TN

NPI Status: Active since July 24, 2015

Contact Information

1120 N OCOEE ST
CLEVELAND, TN
ZIP 37311
Phone: (423) 614-8000
Fax: (423) 614-9180

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  • Organization
  • Behavior Analyst

About LEE UNIVERSITY DEVELOPMENTAL INCLUSION CLASSROOMS (LUDIC)

This page provides the complete NPI Profile along with additional information for Lee University Developmental Inclusion Classrooms (ludic), a provider established in Cleveland, Tennessee operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1194100727 assigned on July 2015. The practitioner's primary taxonomy code is 103K00000X with license number 1-08-4396 (TN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Lee University Developmental Inclusion Classrooms (ludic). The authorized official of this NPI record is Dr. Tamara Johnson Ed.d., Bcba-d (Ludic Director)

NPI
1194100727
Provider Legal Name
LEE UNIVERSITY
Other Organization Name
LEE UNIVERSITY DEVELOPMENTAL INCLUSION CLASSROOMS (LUDIC)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1120 N OCOEE ST CLEVELAND, TN 37311
Location Phone
(423) 614-8000
Location Fax
(423) 614-9180
Mailing Address
1120 N OCOEE ST CLEVELAND, TN 37311
Mailing Phone
(423) 614-8190
Mailing Fax
(423) 614-9180
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-24-2015
Last Update Date
07-24-2015
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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
License No.
1-08-4396
License State
TN
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TAMARA JOHNSON ED.D., BCBA-D

Authorized Official Title
LUDIC DIRECTOR
Authorized Official Phone
(423) 961-3785

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
PENDINGMEDICAID (05)TN 

Reviews for LEE UNIVERSITY DEVELOPMENTAL INCLUSION CLASSROOMS (LUDIC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194100727
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118420074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 2 + 0 + 0 + 7 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1194100727 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629161955MRS. STEPHANIE RENEE BRENING ATC/LAT
Individual
Specialist/Technologist (Athletic Trainer)1120 N OCOEE ST LEE UNIVERISTY ATHLETIC TRAINING
CLEVELAND, TN 37311
(423) 614-8527
1023155546DR. JO LEE DEVANE M.D.
Individual
Pediatrics1120 N OCOEE ST LEE UNIVERSITY HEALTH CLINIC
CLEVELAND, TN 37311
(423) 614-8430
1831424019DR. DAVID PETER QUAGLIANA PH.D.
Individual
Psychologist1120 N OCOEE ST
CLEVELAND, TN 37311
(773) 420-6825
1144878448 JEFFREY BRYAN MULLINS ATC
Individual
Specialist/Technologist (Athletic Trainer)1120 N OCOEE ST
CLEVELAND, TN 37311
(423) 614-8462
1962050062 PAIGE PLESICH
Individual
Specialist/Technologist (Athletic Trainer)1120 N OCOEE ST
CLEVELAND, TN 37311
(423) 364-0169
1639711757 JANET JAGGERS WRIGHT NP
Individual
Nurse Practitioner (Family)1120 N OCOEE ST
CLEVELAND, TN 37311
(423) 614-8430
1629698527 KATHLEEN M KERECMAN MS, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1120 N OCOEE ST
CLEVELAND, TN 37311
(440) 465-1631
1780324608 ABBY SANDERS
Individual
Student in an Organized Health Care Education/Training Program1120 N OCOEE ST
CLEVELAND, TN 37311
(423) 614-8000
1093405920MISS DHURANIQUE DAPHNE LAURA FERGUSON
Individual
Marriage & Family Therapist1120 N OCOEE ST
CLEVELAND, TN 37311
(423) 380-8255
1801631858 MORGAN BAILEY
Individual
Student in an Organized Health Care Education/Training Program1120 N OCOEE ST
CLEVELAND, TN 37311
(615) 390-5302
1649006727 MORGAN STANTON
Individual
Student in an Organized Health Care Education/Training Program1120 N OCOEE ST
CLEVELAND, TN 37311
(800) 533-9930
1285469858DR. VICTORIA STEPP DNP, APRN, FNP-C
Individual
Nurse Practitioner (Family)1120 N OCOEE ST
CLEVELAND, TN 37311
(423) 614-8526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194100727, enumerated in the NPI registry as an "organization" on July 24, 2015

The provider is located at 1120 N Ocoee St Cleveland, Tn 37311 and the phone number is (423) 614-8000

This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 24, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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