| Autism Support Nashville Llc | |
|
3003 Gari Baldi Way Spring Hill TN 37174-6282 | |
| (815) 630-6408 | |
| (815) 770-7433 |
| Full Name | Autism Support Nashville Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3003 Gari Baldi Way, Spring Hill, Tennessee |
| Authorized Official Name and Position | Leslie Luckey (BILLING MANAGER) |
| Authorized Official Contact | 7658607198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Support Nashville Llc 3003 Gari Baldi Way Spring Hill TN 37174-6282 Ph: (815) 630-6408 | Autism Support Nashville Llc 3003 Gari Baldi Way Spring Hill TN 37174-6282 Ph: (815) 630-6408 |
| NPI Number | 1073108320 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073108320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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