Individual
RASOUL MOKHTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. BCBA
Contact information
Practice address
4636 LEBANON PIKE # 167, HERMITAGE, TN 37076-1316
(615) 476-0401
(615) 777-3210
Mailing address
4636 LEBANON PIKE # 167, HERMITAGE, TN 37076-1316
(615) 476-0401
(615) 777-3210
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/05/2009
Last updated
07/21/2022
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