Organization
AUTISM FOUNDATION OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN NEWTON BLAKE I M.ED (DIRECTOR)
(615) 376-0034
Entity
Organization
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
1-11-8722
TN
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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