Individual provider · Type 1 NPI

Tawny Mickey, BCBA

Behavior Analyst · Cordova, TN

NPI number 1376265595 Active

Practice location

8100 Macon Station Dr Ste 101-105
Cordova, TN 38018-5803

Mailing address

542 Amherst St Ste B
Nashua, NH 03063-1016

Other practice locations

  • 560 Trinity Creek Cv, Cordova, TN 38018-2279 · (901) 218-5527

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-22-61310 (TN)

Behavior Analyst: 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…

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About NPI 1376265595

Tawny Mickey, BCBA's National Provider Identifier is 1376265595, issued on Sep 14, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Cordova, TN. The record was last updated on Nov 1, 2026.