Individual
RITA BACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3441 FORT CAMPBELL BLVD STE F3, CLARKSVILLE, TN 37042-6684
(931) 449-0063
Mailing address
3441 FORT CAMPBELL BLVD STE F3, CLARKSVILLE, TN 37042-6684
(931) 449-0063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT
BEHAVIOR ANALYSIS CERTIFICATION BOARD
—
Enumeration date
01/02/2019
Last updated
01/02/2019
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