Individual
CARISSA COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 HOLT RD, NASHVILLE, TN 37211-6903
(615) 376-0034
Mailing address
6515 HOLT RD, NASHVILLE, TN 37211-6903
(615) 376-0034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0145880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511846
—
TN
Enumeration date
05/13/2014
Last updated
05/13/2014
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