Organization
INNOVATIVE BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNEKIE CRUMP BCBA (EXECUTIVE DIRECTOR)
(901) 491-6653
Entity
Organization
Contact information
Practice address
7119 BRISTOL MEADOW LN, MEMPHIS, TN 38125-4289
(901) 491-6653
Mailing address
7119 BRISTOL MEADOW LN, MEMPHIS, TN 38125-4289
(901) 491-6653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208D00000X
OTHER NON SPECIFIED
TN
Enumeration date
12/05/2015
Last updated
01/05/2024
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