Organization
APPALACHIAN PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDI YOUNG MINUTOLO BCBA, LBA (CO-OWNER/LBA)
(423) 426-3304
Entity
Organization
Contact information
Practice address
5400 FORT HENRY DR STE 12, KINGSPORT, TN 37663-5304
(423) 426-3304
Mailing address
118 PATRICK HENRY CIR, KINGSPORT, TN 37663-3733
(423) 426-3304
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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