| Power-up, Llc | |
|
1024 Fuji Ln Clarksville TN 37040-8800 | |
| (931) 292-2601 | |
| (931) 292-2601 |
| Full Name | Power-up, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1024 Fuji Ln, Clarksville, Tennessee |
| Authorized Official Name and Position | Logan Victoria York (OWNER) |
| Authorized Official Contact | 9312922601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Power-up, Llc 1024 Fuji Ln Clarksville TN 37040-8800 Ph: (931) 292-2601 | Power-up, Llc 1024 Fuji Ln Clarksville TN 37040-8800 Ph: (931) 292-2601 |
| NPI Number | 1538832407 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538832407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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