| Comprehensive Behavioral Concepts | |
|
450 N Ericson Rd Cordova TN 38018-4099 | |
| (901) 907-5544 | |
| Not Available |
| Full Name | Comprehensive Behavioral Concepts |
|---|---|
| Speciality | Behavior Analyst |
| Location | 450 N Ericson Rd, Cordova, Tennessee |
| Authorized Official Name and Position | Vonda Jan Perry (BEHAVIOR ANALYST) |
| Authorized Official Contact | 9019015544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Behavioral Concepts 450 N Ericson Rd Cordova TN 38018-4099 Ph: (901) 907-5544 | Comprehensive Behavioral Concepts 450 N Ericson Rd Cordova TN 38018-4099 Ph: (901) 907-5544 |
| NPI Number | 1114553682 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 03/17/2020 |
| Certification Date | 03/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114553682 | NPI | - | NPPES |
| Q047041 | Medicaid | TN | |
| 14378708 | Other | TN | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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