Organization
CARADINE BEHAVIOR CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORIE HUTTON CARADINE BCBA/LBS (PRESIDENT/DIRECTOR)
(901) 412-8678
Entity
Organization
Contact information
Practice address
1821 LOOKING GLASS LN, NOLENSVILLE, TN 37135-9817
(901) 412-8678
Mailing address
PO BOX 1177, NOLENSVILLE, TN 37135-1177
(901) 412-8678
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487044707
—
TN
Enumeration date
05/21/2019
Last updated
05/21/2019
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