| Family Tree Applied Behavior Analysis Llc | |
|
1778 Penshurst Dr Collierville TN 38017-9104 | |
| (901) 233-1218 | |
| Not Available |
| Full Name | Family Tree Applied Behavior Analysis Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1778 Penshurst Dr, Collierville, Tennessee |
| Authorized Official Name and Position | Timothy Drew Cripps (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 9012331218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Tree Applied Behavior Analysis Llc 1778 Penshurst Dr Collierville TN 38017-9104 Ph: (901) 233-1218 | Family Tree Applied Behavior Analysis Llc 1778 Penshurst Dr Collierville TN 38017-9104 Ph: (901) 233-1218 |
| NPI Number | 1407359755 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407359755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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