Organization
MAKING TRACKS BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAERA RYE BCBA (OWNER)
(615) 439-8354
Entity
Organization
Contact information
Practice address
1401 BUCHANON DR, CLARKSVILLE, TN 37042-3347
(615) 439-8354
(931) 443-0298
Mailing address
1401 BUCHANON DR, CLARKSVILLE, TN 37042-3347
(615) 439-8354
(931) 443-0298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q062057
—
TN
Enumeration date
03/11/2021
Last updated
03/11/2021
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