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Organization
SHAPE BEHAVIORAL SERVICES LLC
Active
Organization
SHAPE BEHAVIORAL SERVICES LLC
Active
Other names
Shape Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX KISS (DIRECTOR)
(423) 281-4333
Entity
Organization
Contact information
Practice address
3500 JOHN A MERRITT BLVD, NASHVILLE, TN 37209
(423) 281-4333
Mailing address
7022 SHALLOWFORD RD, STE 1 PMB 618, CHATTANOOGA, TN 37421-6714
(423) 281-4333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/29/2021
Last updated
06/05/2023
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