Organization
COMPREHENSIVE BEHAVIORAL CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VONDA JAN PERRY M.S., LBA, BCABA (BEHAVIOR ANALYST)
(901) 901-5544
Entity
Organization
Contact information
Practice address
450 N ERICSON RD, CORDOVA, TN 38018-4099
(901) 907-5544
Mailing address
450 N ERICSON RD, CORDOVA, TN 38018-4099
(901) 907-5544
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14378708
CAQH
TN
05
—
Q047041
—
TN
Enumeration date
03/17/2020
Last updated
03/17/2020
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