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Organization
MOBILE THERAPY CENTERS OF TENNESSEE, LLC
Active
Organization
MOBILE THERAPY CENTERS OF TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL G VANZANT JR. BCBA (OWNER)
(615) 478-6603
Entity
Organization
Contact information
Practice address
330 FRANKLIN RD STE 135A-142, BRENTWOOD, TN 37027-3280
(615) 478-6603
Mailing address
330 FRANKLIN RD STE 135A-142, BRENTWOOD, TN 37027-3280
(615) 478-6603
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11519477
CO
Other
Enumeration date
11/06/2017
Last updated
07/15/2020
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