Organization
APPALACHIAN BEHAVIOR SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA JOKER MA, BCBA (DIRECTOR)
(423) 676-4324
Entity
Organization
Contact information
Practice address
1561 COLONY PARK DR, JOHNSON CITY, TN 37604-7183
(423) 676-4324
(423) 434-2979
Mailing address
PO BOX 5788, JOHNSON CITY, TN 37602-5788
(423) 676-4324
(423) 434-2979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C64
—
TN
Enumeration date
03/23/2007
Last updated
08/22/2020
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