Individual
HEATHER NICOLE SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 ORANGE ST, LEWISBURG, TN 37091-3633
(931) 652-7570
Mailing address
1624 ORANGE ST, LEWISBURG, TN 37091-3633
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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