Individual
MRS. MALLORIE HUTTON CARADINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4905 HAMPSHIRE AVE, MEMPHIS, TN 38117-5630
(901) 412-8678
Mailing address
4905 HAMPSHIRE AVE, MEMPHIS, TN 38117-5630
(901) 412-8678
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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