| Magnolia Aba Institute, Inc | |
|
279 Clear Sky Ct Suite C Clarksville TN 37043-5946 | |
| (615) 613-1869 | |
| (931) 443-0203 |
| Full Name | Magnolia Aba Institute, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 279 Clear Sky Ct, Clarksville, Tennessee |
| Authorized Official Name and Position | David G Martin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6156131869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Aba Institute, Inc 7944 Princeton Dr Naples FL 34104-6667 Ph: (615) 613-1869 | Magnolia Aba Institute, Inc 279 Clear Sky Ct Suite C Clarksville TN 37043-5946 Ph: (615) 613-1869 |
| NPI Number | 1205380920 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 08/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205380920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 000856685 (Tennessee) | Primary |
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