Organization
TRI-CITIES BEHAVIORAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY A SMITH BCBA (BUSINESS OWNER)
(423) 737-8995
Entity
Organization
Contact information
Practice address
290 BORING CHAPEL RD, JOHNSON CITY, TN 37615-2941
(423) 737-8995
Mailing address
290 BORING CHAPEL RD, JOHNSON CITY, TN 37615-2941
(423) 737-8995
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6605
TN
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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