Individual
SADIE CHARNELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 WALNUT DR, CLARKSVILLE, TN 37040-3988
(202) 702-4024
Mailing address
1007 WALNUT DR, CLARKSVILLE, TN 37040-3988
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-481053
TN
Other
Enumeration date
11/08/2025
Last updated
11/08/2025
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