Individual
BRANDI N AXT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 HIGHWAY 70 STE 273, PEGRAM, TN 37143-2115
(615) 497-7428
(615) 679-3997
Mailing address
PO BOX 273, PEGRAM, TN 37143-0273
(615) 497-7428
(615) 679-3997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/26/2009
Last updated
12/09/2015
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