Organization
MOMENTUM AUTISM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA WADDELL (OWNER)
(615) 424-2158
Entity
Organization
Contact information
Practice address
757 COWAN DR, NOLENSVILLE, TN 37135-7409
(615) 925-0924
Mailing address
757 COWAN DR, NOLENSVILLE, TN 37135-7409
(615) 925-0924
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
01/28/2024
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