| Exemplary Behavior | |
|
4316 Summercrest Blvd Suite Antioch TN 37013-5805 | |
| (615) 293-1864 | |
| Not Available |
| Full Name | Exemplary Behavior |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4316 Summercrest Blvd, Antioch, Tennessee |
| Authorized Official Name and Position | Andre Anderson (CEO) |
| Authorized Official Contact | 6152931864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exemplary Behavior 4316 Summercrest Blvd Suite Antioch TN 37013-5805 Ph: (615) 293-1864 | Exemplary Behavior 4316 Summercrest Blvd Suite Antioch TN 37013-5805 Ph: (615) 293-1864 |
| NPI Number | 1144475807 |
|---|---|
| Provider Enumeration Date | 11/22/2008 |
| Last Update Date | 11/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144475807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-04-1884 (Tennessee) | Primary |
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