Individual
KRISTA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3315
(440) 941-9141
Mailing address
403 OWL DR, LEBANON, TN 37087-7663
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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