Individual
KAELIN HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 TIMBER CREEK DR STE 101, CORDOVA, TN 38018-4396
(901) 654-5693
Mailing address
3631 DAWNRIDGE CV, BARTLETT, TN 38135-3115
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-283479
TN
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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