Individual
KELLY MICHELLE TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
1253 JUDGE TYLER DR, CLARKSVILLE, TN 37043-1423
(931) 449-0063
(931) 896-2737
Mailing address
1253 JUDGE TYLER DR, CLARKSVILLE, TN 37043-1423
(931) 449-0063
(931) 896-2737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18806
—
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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