Individual
MS. ELIZABETH LANE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LBA, BCBA
Contact information
Practice address
28 FIELDSTONE DR, PARIS, TN 38242
(731) 336-4492
(731) 407-7058
Mailing address
28 FIELDSTONE DR, PARIS, TN 38242
(731) 336-4492
(731) 407-7058
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24387
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q026631
—
TN
Enumeration date
12/22/2016
Last updated
10/04/2018
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