| Avita Therapy Services | |
|
110 Buttercup Cv Franklin TN 37064-6106 | |
| (925) 639-0419 | |
| Not Available |
| Full Name | Avita Therapy Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 110 Buttercup Cv, Franklin, Tennessee |
| Authorized Official Name and Position | Christine Johnson (OWNER) |
| Authorized Official Contact | 9256390419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avita Therapy Services 110 Buttercup Cv Franklin TN 37064-6106 Ph: (925) 639-0419 | Avita Therapy Services 110 Buttercup Cv Franklin TN 37064-6106 Ph: (925) 639-0419 |
| NPI Number | 1356109086 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356109086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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