Organization
CHANGING THE CRITERION ABA THERAPY
Active
Other names
Changing the Criterion ABA Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA WILSON (ASSISTANT)
(870) 394-2795
Entity
Organization
Contact information
Practice address
2927 CARNES AVENUE, MEMPHIS, TN 38111
(870) 394-2795
Mailing address
361 SOUTHWEST DR # 450, JONESBORO, AR 72401-5854
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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