Organization
CULTIVATE TENNESSEE, LLC
Active
Parent organization
CULTIVATE BEHAVIORAL MANAGEMENT CORP
Other names
Cultivate Behavioral Health and Education, Amy Bohannan MS BCBA LLC, Advanced Behavioral Consulting
Organization subpart
Yes
Provider details
NPI number
Legal business name
CULTIVATE BEHAVIORAL MANAGEMENT CORP
Authorized official
JONATHON CURLETT (CFO)
(512) 772-4042
Entity
Organization
Contact information
Practice address
146 TIMBER CREEK DR STE 101, CORDOVA, TN 38018-4396
(901) 249-7838
(901) 271-7180
Mailing address
12600 HILL COUNTRY BLVD STE R-100, BEE CAVE, TX 78738-6748
(512) 772-4042
(512) 842-7446
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036970
—
TN
Enumeration date
04/19/2017
Last updated
02/01/2022
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