| Kaleidoscope Behavior Analysis & Therapy, Llc | |
|
331 Landrum Pl Clarksville TN 37043-6329 | |
| (931) 553-1395 | |
| (931) 553-1396 |
| Full Name | Kaleidoscope Behavior Analysis & Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 331 Landrum Pl, Clarksville, Tennessee |
| Authorized Official Name and Position | Julie M Adcock (OWNER) |
| Authorized Official Contact | 9315531395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Behavior Analysis & Therapy, Llc 331 Landrum Pl Clarksville TN 37043-6329 Ph: (931) 553-1395 | Kaleidoscope Behavior Analysis & Therapy, Llc 331 Landrum Pl Clarksville TN 37043-6329 Ph: (931) 553-1395 |
| NPI Number | 1720346653 |
|---|---|
| Provider Enumeration Date | 04/28/2012 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720346653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
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