| Actual Behavior Change, Lp | |
|
73 White Bridge Rd Ste. 103-232 Nashville TN 37205-1444 | |
| (615) 916-0664 | |
| (615) 953-2949 |
| Full Name | Actual Behavior Change, Lp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 73 White Bridge Rd, Nashville, Tennessee |
| Authorized Official Name and Position | Bethany Holton (OWNER) |
| Authorized Official Contact | 6159160664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Actual Behavior Change, Lp 73 White Bridge Rd Ste. 103-232 Nashville TN 37205-1444 Ph: (615) 916-0664 | Actual Behavior Change, Lp 73 White Bridge Rd Ste. 103-232 Nashville TN 37205-1444 Ph: (615) 916-0664 |
| NPI Number | 1396017372 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396017372 | NPI | - | NPPES |
| 1527661 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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