| Southern Tennessee Applied Behavior Analysis Llc | |
|
2366 Springer Rd Lawrenceburg TN 38464-4459 | |
| (931) 279-2199 | |
| Not Available |
| Full Name | Southern Tennessee Applied Behavior Analysis Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2366 Springer Rd, Lawrenceburg, Tennessee |
| Authorized Official Name and Position | Christa Mashburn (CEO/BCBC) |
| Authorized Official Contact | 9312792199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tennessee Applied Behavior Analysis Llc 303 Oakwood Dr Lawrenceburg TN 38464-4139 Ph: (931) 279-2199 | Southern Tennessee Applied Behavior Analysis Llc 2366 Springer Rd Lawrenceburg TN 38464-4459 Ph: (931) 279-2199 |
| NPI Number | 1811752603 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811752603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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