Organization
ABC BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REANNE HENIECE WOODS MS, BCBA (DIRECTOR/OWNER)
(901) 315-7628
Entity
Organization
Contact information
Practice address
1727 N GERMANTOWN PKWY STE 107, CORDOVA, TN 38016-3328
(901) 315-7628
Mailing address
1727 N GERMANTOWN PKWY STE 107, CORDOVA, TN 38016-3328
(901) 315-7628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265908552
—
TN
05
—
1740796929
—
TN
05
—
Q035787
—
TN
05
—
Q057100
—
TN
Enumeration date
10/15/2018
Last updated
05/05/2022
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