Organization
BEHAVIOR INTERVENTION & THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL OKEMBA OKELLO BCBA (EXECUTIVE DIRECTOR)
(901) 606-6352
Entity
Organization
Contact information
Practice address
1951 CHARTRIDGE DR, CORDOVA, TN 38016-2385
(901) 606-6352
Mailing address
1951 CHARTRIDGE DR, CORDOVA, TN 38016-2385
(901) 606-6352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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