Organization
REBECCA WOMACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A WOMACK (BEHAVIOR ANALYST)
(615) 879-6425
Entity
Organization
Contact information
Practice address
3196 UNION HILL RD, JOELTON, TN 37080-8721
(615) 879-6425
(888) 262-4313
Mailing address
3196 UNION HILL RD, JOELTON, TN 37080-8721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512668
—
TN
Enumeration date
04/11/2012
Last updated
04/11/2012
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