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Organization

AUTISM SUPPORT NASHVILLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE LUCKEY (BILLING MANAGER)
(765) 860-7198
Entity
Organization

Contact information

Practice address
3003 GARI BALDI WAY, SPRING HILL, TN 37174-6282
(815) 630-6408
(815) 770-7433
Mailing address
3003 GARI BALDI WAY, SPRING HILL, TN 37174-6282
(815) 630-6408
(815) 770-7433

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/08/2021
Last updated
03/10/2021
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