| Adaptive Behavior Academy Llc | |
|
248 Clearwater Dr Kingsport TN 37664-5137 | |
| (423) 426-2307 | |
| Not Available |
| Full Name | Adaptive Behavior Academy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 248 Clearwater Dr, Kingsport, Tennessee |
| Authorized Official Name and Position | Tabitha Ebbert (OWNER) |
| Authorized Official Contact | 4234262307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adaptive Behavior Academy Llc 248 Clearwater Dr Kingsport TN 37664-5137 Ph: (423) 426-2307 | Adaptive Behavior Academy Llc 248 Clearwater Dr Kingsport TN 37664-5137 Ph: (423) 426-2307 |
| NPI Number | 1710560313 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710560313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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