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7410 Appling Mist Dr Cordova TN 38016-4980 | |
| (252) 381-0632 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7410 Appling Mist Dr, Cordova, Tennessee |
| Authorized Official Name and Position | Erin Mallory Collins (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 9018647318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7410 Appling Mist Dr Cordova TN 38016-4980 Ph: (901) 430-9675 | 7410 Appling Mist Dr Cordova TN 38016-4980 Ph: (252) 381-0632 |
| NPI Number | 1578348900 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578348900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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