Individual
IMRAN ABUBAKER AYELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4075 PARK AVE, MEMPHIS, TN 38111-7400
(901) 584-8281
Mailing address
2553 KATE BOND RD, MEMPHIS, TN 38133-5107
(901) 247-8738
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-242428
TN
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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