Individual
HEALEY LYNN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 CUDE LN, MADISON, TN 37115-2202
(615) 632-6566
Mailing address
724 NOTTINGHAM AVE, HENDERSONVILLE, TN 37075-2790
(951) 775-6035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2366
TN
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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