Individual
MS. MIKA GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, M.ED, BCBA, LBA
Contact information
Practice address
1182 LULA LN, FRANKLIN, TN 37064-5905
(615) 310-5469
Mailing address
1182 LULA LN, FRANKLIN, TN 37064-5905
(615) 310-5469
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q052483
—
TN
Enumeration date
06/24/2019
Last updated
04/04/2023
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