Individual
RIAN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5511 EDMONDSON PIKE, NASHVILLE, TN 37211-5870
(615) 564-4984
Mailing address
111 OLD HICKORY BLVD APT 327, NASHVILLE, TN 37221-2969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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