Individual
SASHA NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 CUDE LN, MADISON, TN 37115-2202
(703) 506-0123
Mailing address
PO BOX 1345, GOODLETTSVILLE, TN 37070-1345
(615) 330-3126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84674
TN
Other
Enumeration date
09/14/2021
Last updated
11/07/2025
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