Individual
NIAH CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
5511 EDMONDSON PIKE STE 105, NASHVILLE, TN 37211-6852
(855) 324-0885
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59819
TN
103K00000X
Behavior Analyst
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—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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