IndividualActive
Andre Anderson, BCBA
NPI 1134398480 · Contractor · Antioch, TN
Provider details
- NPI number
- 1134398480
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1-04-1884 (TN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4316 Summercrest Blvd Apt 514
Antioch, TN 37013-5804
Phone: (615) 293-1864
Street-level locationGet directions
Mailing address
Po Box 1361
Antioch, TN 37011-1361
Registry dates
- Enumerated
- 2008-02-20
- Last updated
- 2008-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.