Provider Demographics
NPI:1649932211
Name:MCDONALD, ADRIAN (RBT)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 MAIN ST STE B23
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3603
Mailing Address - Country:US
Mailing Address - Phone:615-821-2575
Mailing Address - Fax:615-821-0024
Practice Address - Street 1:615 MAIN ST STE B23
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3603
Practice Address - Country:US
Practice Address - Phone:615-821-2575
Practice Address - Fax:615-821-0024
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYRBT-21-188137106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician