Individual
MARY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
449 S KINGS HWY, MURFREESBORO, TN 37129-3534
(815) 353-1884
Mailing address
538 MORRIS DR, MURFREESBORO, TN 37130-1032
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
734
TN
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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