Individual
KAJOL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S MOUNT JULIET RD STE 235-118, MT JULIET, TN 37122-6359
(703) 506-0123
Mailing address
402 FALLS CREEK CIRCLE, GOODLETTSVILLE, TN 37072
(615) 800-1024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-219413
TN
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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