| Intellistars Aba Tn | |
|
6000 Poplar Ave Ste 250 Memphis TN 38119-3974 | |
| (248) 770-3658 | |
| Not Available |
| Full Name | Intellistars Aba Tn |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6000 Poplar Ave Ste 250, Memphis, Tennessee |
| Authorized Official Name and Position | Miriam Greenwald (CHIEF CARING OFFICER) |
| Authorized Official Contact | 7325973699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intellistars Aba Tn 311 Boulevard Of Americas Ste 109 Lakewood NJ 08701-4788 Ph: (248) 770-3658 | Intellistars Aba Tn 6000 Poplar Ave Ste 250 Memphis TN 38119-3974 Ph: (248) 770-3658 |
| NPI Number | 1538859657 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538859657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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