Individual
OLIVIA CREASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
499 CUMMINGS LN, GALLATIN, TN 37066-8502
(855) 832-6727
Mailing address
256 HUNTERS LN, LEBANON, TN 37087-5666
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-176372
TN
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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