Individual
CALLIE GRACE JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
206 S JEFFERSON AVE, COOKEVILLE, TN 38501-4748
(931) 283-2919
Mailing address
1770 S JEFFERSON AVE APT L1, COOKEVILLE, TN 38506-5561
(931) 644-7791
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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