Individual
LAURA TRILLIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1313 OAK VALLEY DR, MOUNT JULIET, TN 37122-7412
(615) 823-4041
(866) 936-1472
Mailing address
1313 OAK VALLEY DR, MOUNT JULIET, TN 37122-7412
(161) 582-3404
(866) 936-1472
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
1-18-30687
TN
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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