Provider Demographics
NPI:1447882709
Name:BICHELMAN BEHAVIORAL SERVICES, PLLC
Entity type:Organization
Organization Name:BICHELMAN BEHAVIORAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BICHELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LBA, BCBA
Authorized Official - Phone:901-240-4157
Mailing Address - Street 1:862 WINTERFIELDS DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-7965
Mailing Address - Country:US
Mailing Address - Phone:901-240-4157
Mailing Address - Fax:866-545-3390
Practice Address - Street 1:862 WINTERFIELDS DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-7965
Practice Address - Country:US
Practice Address - Phone:901-240-4157
Practice Address - Fax:866-545-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty