Individual
BRIYANNA EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 WALNUT GROVE RD, CORDOVA, TN 38018-7392
(901) 448-2067
Mailing address
4498 COVINGTON PIKE, MEMPHIS, TN 38135-0750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
TN
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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