Individual
NOLAN BLAKE TIPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106500000X
ACORN HEALTH
TN
Enumeration date
12/06/2021
Last updated
12/06/2021
Update your record
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