| Common Thread Aba Llc | |
|
2004 American Way Ste 109 Kingsport TN 37660-5892 | |
| (423) 612-8469 | |
| (833) 540-3751 |
| Full Name | Common Thread Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2004 American Way Ste 109, Kingsport, Tennessee |
| Authorized Official Name and Position | Timothy Story (COO) |
| Authorized Official Contact | 4236128469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Thread Aba Llc 2004 American Way Ste 109 Kingsport TN 37660-5892 Ph: (423) 612-8469 | Common Thread Aba Llc 2004 American Way Ste 109 Kingsport TN 37660-5892 Ph: (423) 612-8469 |
| NPI Number | 1144857764 |
|---|---|
| Provider Enumeration Date | 03/24/2020 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144857764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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