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196 Broyles Rd Spring City TN 37381-5406 | |
(423) 508-2374 | |
Not Available |
Full Name | |
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Speciality | Behavior Analyst |
Location | 196 Broyles Rd, Spring City, Tennessee |
Authorized Official Name and Position | Charles Taylor (CEO/BCBA) |
Authorized Official Contact | 4235082374 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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196 Broyles Rd Spring City TN 37381-5406 Ph: (423) 508-2374 | 196 Broyles Rd Spring City TN 37381-5406 Ph: (423) 508-2374 |
NPI Number | 1689176505 |
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Provider Enumeration Date | 03/07/2018 |
Last Update Date | 03/07/2018 |
Identifier | Type | State | Issuer |
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1689176505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | 357 (Tennessee) | Primary |