| Tennessee Behavioral Therapy Manchester Llc | |
|
811 Hillsboro Blvd Manchester TN 37355-2023 | |
| (423) 902-6598 | |
| Not Available |
| Full Name | Tennessee Behavioral Therapy Manchester Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 811 Hillsboro Blvd, Manchester, Tennessee |
| Authorized Official Name and Position | Jenni Davis (BCBA/OWNER) |
| Authorized Official Contact | 4239026598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Behavioral Therapy Manchester Llc 20 Courthouse Sq Jasper TN 37347-3530 Ph: () - | Tennessee Behavioral Therapy Manchester Llc 811 Hillsboro Blvd Manchester TN 37355-2023 Ph: (423) 902-6598 |
| NPI Number | 1265216428 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265216428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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