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Organization
CREATIVE MINDS BEHAVIOR SERVICES, LLC
Active
Organization
CREATIVE MINDS BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASOUL MOKHTARI MS, BCBA (BEHAVIOR ANALYST)
(615) 513-7183
Entity
Organization
Contact information
Practice address
4636 LEBANON PIKE # 167, HERMITAGE, TN 37076-1316
(615) 513-7183
(615) 777-3210
Mailing address
4636 LEBANON PIKE # 167, HERMITAGE, TN 37076-1316
(615) 513-7183
(615) 777-3210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3620
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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