| Inspired Aba, Pllc | |
|
3004 Vicksburg Rd Johnson City TN 37604-6388 | |
| (931) 302-9723 | |
| (844) 440-1982 |
| Full Name | Inspired Aba, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3004 Vicksburg Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | Elizabeth Schellhammer (OWNER) |
| Authorized Official Contact | 9313029723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspired Aba, Pllc 3004 Vicksburg Rd Johnson City TN 37604-6388 Ph: (931) 302-9723 | Inspired Aba, Pllc 3004 Vicksburg Rd Johnson City TN 37604-6388 Ph: (931) 302-9723 |
| NPI Number | 1992443899 |
|---|---|
| Provider Enumeration Date | 05/22/2022 |
| Last Update Date | 05/22/2022 |
| Certification Date | 05/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992443899 | NPI | - | NPPES |
| Q073486 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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