Individual
MISS MAIDE AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1414 WINTHORNE DR, NASHVILLE, TN 37217-2415
(615) 600-8130
Mailing address
1414 WINTHORNE DR, NASHVILLE, TN 37217-2415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-205033
TN
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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