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Individual

MRS. ELISA SHAWANN INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
1126 HUDSON LN, FRANKLIN, TN 37067-8603
(210) 240-6186
Mailing address
1126 HUDSON LN, FRANKLIN, TN 37067-8603
(210) 240-6186

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
11/11/2013
Last updated
10/20/2025
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