Individual
MRS. COURTNEY HANNAH BIRDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
341 PORTLAND RD, WHITE HOUSE, TN 37188-8904
(615) 708-4739
Mailing address
341 PORTLAND RD, WHITE HOUSE, TN 37188-8904
(615) 708-4739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2009
Last updated
07/10/2015
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