Individual
KATLYN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
6761 STAGE RD, MEMPHIS, TN 38134-3867
(901) 379-2287
Mailing address
6761 STAGE RD, MEMPHIS, TN 38134-3867
(901) 379-2287
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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