Individual
KATHLEEN DIANNE CARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6656 HOLT RD, NASHVILLE, TN 37211-6906
(615) 426-3607
Mailing address
6656 HOLT RD, NASHVILLE, TN 37211-6906
(615) 426-3607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
12/22/2014
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