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Individual

NICHOLAS BARTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 IMPERIAL BLVD STE E, HENDERSONVILLE, TN 37075-3400
(615) 560-6622
Mailing address
130 CINEMA DR APT 2111, HENDERSONVILLE, TN 37075-6397
(270) 557-9334

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
TN

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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