Individual
KAMRYN MARGARET QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S MOUNT JULIET RD, MOUNT JULIET, TN 37122-6359
(615) 393-1709
Mailing address
6353D COLUMBIA AVE, NASHVILLE, TN 37209-1768
(206) 734-1595
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1269
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
TN
Enumeration date
10/09/2020
Last updated
09/05/2023
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