Individual
TALISHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10632 EAGLE WAY, HOPKINSVILLE, KY 42240-8779
(270) 702-4641
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 724-4722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-41548
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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