Organization
AUSOME KIDZ THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREA SATTERWHITE BCBA (OWNER)
(423) 676-6317
Entity
Organization
Contact information
Practice address
1001 N ROAN ST, JOHNSON CITY, TN 37601-4669
(423) 676-6317
(866) 468-5489
Mailing address
1001 N ROAN ST, JOHNSON CITY, TN 37601-4669
(423) 676-6317
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
1-14-17417
—
Other
Enumeration date
07/13/2015
Last updated
07/16/2015
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