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Organization
PRACTICAL BEHAVIOR ANALYSIS, LLC
Active
Organization
PRACTICAL BEHAVIOR ANALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY STEVENS MS, LBA, BCBA (CLINICAL DIRECTOR)
(954) 295-8448
Entity
Organization
Contact information
Practice address
2270 THORNTON TAYLOR PKWY STE B, FAYETTEVILLE, TN 37334-3669
(954) 295-8448
Mailing address
2270 THORNTON TAYLOR PKWY STE B, FAYETTEVILLE, TN 37334-3669
(615) 669-6397
(615) 992-3933
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q006469
—
TN
05
—
Q033196
—
TN
Enumeration date
01/05/2018
Last updated
03/06/2024
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