Organization
POSITIVE IMPACT BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH CAVINESS GRIFFITH M.A.ED., BCBA (OWNER)
(901) 604-3857
Entity
Organization
Contact information
Practice address
604 WALKER PKWY, ATOKA, TN 38004-7598
(901) 604-3857
(877) 744-3449
Mailing address
604 WALKER PKWY, ATOKA, TN 38004-7598
(901) 604-3857
(877) 744-3449
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000488
—
TN
Enumeration date
10/08/2015
Last updated
10/08/2015
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