Making Tracks Behavior Therapy | |
1401 Buchanon Dr Clarksville TN 37042-3347 | |
(615) 439-8354 | |
(931) 443-0298 |
Full Name | Making Tracks Behavior Therapy |
---|---|
Speciality | Behavior Analyst |
Location | 1401 Buchanon Dr, Clarksville, Tennessee |
Authorized Official Name and Position | Megaera Rye (OWNER) |
Authorized Official Contact | 6154398354 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Making Tracks Behavior Therapy 1401 Buchanon Dr Clarksville TN 37042-3347 Ph: (615) 439-8354 | Making Tracks Behavior Therapy 1401 Buchanon Dr Clarksville TN 37042-3347 Ph: (615) 439-8354 |
NPI Number | 1528643541 |
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Provider Enumeration Date | 03/11/2021 |
Last Update Date | 03/11/2021 |
Certification Date | 03/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528643541 | NPI | - | NPPES |
Q062057 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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