Individual
SAVANNAH HUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 GREAT CIRCLE RD STE 320, NASHVILLE, TN 37228-1727
(865) 407-2083
Mailing address
122 PRESLEY WAY, WALLAND, TN 37886-2155
(865) 661-9139
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB498657
SC
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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