Otto, Jason Thomas
Otto, Jason Thomas is an sole proprietor health care provider with primary practice located at 3203 Brick Church Pike Scarab Behavioral Health Services, Llc, Nashville TN 37207. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Otto, Jason Thomas can be contacted via phone (615) 262-7822.Contact Information
Primary practice address
3203 Brick Church Pike Scarab Behavioral Health Services, Llc
Nashville TN 37207
Phone: (615) 262-7822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1912100942 |
|---|---|
| LBN Legal business name | Otto, Jason Thomas |
| Credentials | PH.D., BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Sep 28th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912100942 | NPPES |
| Other | 1-01-0651 | BOARD CERT BEH ANALYST |
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