| Tn Pediatric Therapy Llc | |
|
204 Gadd Rd Chattanooga TN 37415-1838 | |
| (561) 716-0804 | |
| Not Available |
| Full Name | Tn Pediatric Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 204 Gadd Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Jason Elowitz (OWNER) |
| Authorized Official Contact | 5617160804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tn Pediatric Therapy Llc 204 Gadd Rd Chattanooga TN 37415-1838 Ph: (561) 716-0804 | Tn Pediatric Therapy Llc 204 Gadd Rd Chattanooga TN 37415-1838 Ph: (561) 716-0804 |
| NPI Number | 1134792120 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134792120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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