| Mainstream Autism Services | |
|
103 S High Ridge Dr Goodlettsville TN 37072-7085 | |
| (615) 939-8049 | |
| Not Available |
| Full Name | Mainstream Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 103 S High Ridge Dr, Goodlettsville, Tennessee |
| Authorized Official Name and Position | Joseph Banua (OWNER/CEO) |
| Authorized Official Contact | 6159398049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainstream Autism Services 103 S High Ridge Dr Goodlettsville TN 37072-7085 Ph: (615) 939-8049 | Mainstream Autism Services 103 S High Ridge Dr Goodlettsville TN 37072-7085 Ph: (615) 939-8049 |
| NPI Number | 1437800331 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437800331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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