Active NPIIndividual provider

Tawny Mickey, BCBA

Behavior Analyst in Cordova, Tennessee

NPI Number1376265595
Practice location
8100 Macon Station Dr Ste 101-105, Cordova, TN 38018-5803
Fax
—
Last updated
November 1, 2026

Tawny Mickey is a Behavior Analyst based in Cordova, TN. Tawny Mickey practices in Cordova, TN and has the professional credentials of BCBA. The NPI Number for Tawny Mickey is 1376265595 and holds a License No. 1-22-61310 (TN). The current practice location address for Tawny Mickey is 8100 Macon Station Dr Ste 101-105, Cordova, TN 38018-5803 and can be reached out via phone at 844-423-9483.

Provider Profile Details

NPI Number
1376265595
Provider Name
Tawny Mickey
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
8100 Macon Station Dr Ste 101-105, Cordova, TN 38018-5803
Phone Number
844-423-9483
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2022
Last Update Date
November 1, 2026
Certification Date
November 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
8100 Macon Station Dr Ste 101-105
Cordova, TN 38018-5803
Zip
38018-5803
Phone Number
844-423-9483
Cordova, TN 38018Get directions →

Provider Business Mailing Address Details

Address
542 Amherst St Ste B
Nashua, NH 03063-1016
City
Nashua
State
NH
Zip
03063-1016

License Information

License Number
1-22-61310
License State
TN
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tawny Mickey, BCBA?

The NPI number of Tawny Mickey, BCBA is 1376265595. It was assigned on September 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Tawny Mickey, BCBA?

Tawny Mickey, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in TN under license number 1-22-61310.

Where does Tawny Mickey, BCBA practice?

The practice location is 8100 Macon Station Dr Ste 101-105, Cordova, TN 38018-5803. The office can be reached at 844-423-9483 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376265595 directly on the NPPES registry website.

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