| Tri-cities Behavioral Therapy, Llc | |
|
290 Boring Chapel Rd Johnson City TN 37615-2941 | |
| (423) 737-8995 | |
| Not Available |
| Full Name | Tri-cities Behavioral Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 290 Boring Chapel Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | Mary A Smith (BUSINESS OWNER) |
| Authorized Official Contact | 4237378995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-cities Behavioral Therapy, Llc 290 Boring Chapel Rd Johnson City TN 37615-2941 Ph: (423) 737-8995 | Tri-cities Behavioral Therapy, Llc 290 Boring Chapel Rd Johnson City TN 37615-2941 Ph: (423) 737-8995 |
| NPI Number | 1487955969 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487955969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-09-6605 (Tennessee) | Primary |
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