Organization
ADVANCE BEYOND AUTISM
Active
Organization
ADVANCE BEYOND AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN MARIE GRAY BCBA (BEHAVIOR ANALYST)
(615) 415-3517
Entity
Organization
Contact information
Practice address
311 37TH AVE N, NASHVILLE, TN 37209-3902
(615) 415-3517
Mailing address
311 37TH AVE N, NASHVILLE, TN 37209-3902
(615) 415-3517
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-13-14279
TN
Other
Enumeration date
04/04/2015
Last updated
04/04/2015
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