Individual
MS. ANDREA J DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
279 CLEAR SKY CT, SUITE C, CLARKSVILLE, TN 37043-5946
(270) 217-2808
Mailing address
1853 MADISON ST, UNIT 8, CLARKSVILLE, TN 37043-5299
(270) 217-2808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16181
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-16181
BACB CERTIFICATION NUMBER
—
05
—
Q011268
—
TN
Enumeration date
02/06/2015
Last updated
02/06/2015
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