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Brooklyn Ellise Carlisle

Behavior Analyst β€’ Memphis, TN

Active NPI 1902299050 Individual Practitioner Female Practitioner
Practice location in NPPES

6413 Quince Rd
Memphis, TN 381198219

Call 9016905213 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6413 Quince Rd

Memphis, TN 381198219

Telephone 9016905213
Fax 9016668440
Organization at the Same NPPES Address or Phone
Circle Of Faith Christian Center Facility NPI 1174954457

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Memphis, TN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Memphis and Tennessee

106 active clinicians are listed under Behavior Analyst with a practice address in Memphis, TN (1,490 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Memphis

0% of these 106 clinicians have the CMS telehealth indicator.

0% of these 106 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Secondary Practice Locations

711 Jefferson Ave

Memphis, TN 381055003

Phone: 9014486580

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 06, 2020

Registered at 6413 QUINCE RD, MEMPHIS, TN 381198219 (Tel: 9016905213)

πŸ“
Updated Business Mailing Address March 06, 2020

Registered at 6413 QUINCE RD, MEMPHIS, TN 381198219 (Tel: 9014486580)

πŸ‘€
Provider Name / Credentials Updated March 06, 2020

Recorded as BROOKLYN CARLISLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2020

Behavior Analyst

βœ…
NPI Profile Active March 13, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 13, 2015

Registered at 711 JEFFERSON AVE, MEMPHIS, TN 381055003 (Tel: 9014486580)

πŸ“
Business Mailing Address (Initial Record) March 13, 2015

Registered at 711 JEFFERSON AVE, MEMPHIS, TN 381055003 (Tel: 9014486580)

πŸ‘€
Provider Name / Credentials (Initial Record) March 13, 2015

Recorded as BROOKLYN HENSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 13, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902299050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2015
Last Update: March 06, 2020
Sole Proprietor: No

Mailing Address

6413 Quince Rd

Memphis, TN 381198219

Phone: 9014486580

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.