Organization
AVITA THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINE JOHNSON BCBA (OWNER)
(925) 639-0419
Entity
Organization
Contact information
Practice address
110 BUTTERCUP CV, FRANKLIN, TN 37064-6106
(925) 639-0419
Mailing address
110 BUTTERCUP CV, FRANKLIN, TN 37064-6106
(925) 639-0419
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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