Individual
ELIZABETH KATHLEEN CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13185 OLD NASHVILLE HWY, SMYRNA, TN 37167-6309
(615) 560-6622
Mailing address
1316 MELROSE ST, TULLAHOMA, TN 37388-5611
(931) 434-6915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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