Individual
ASHLEY NICOLE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3315
(615) 957-6974
Mailing address
1535 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3315
(615) 957-6974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-171654
TN
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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