Individual
JAVANNI OBANDO MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ALFREDO DR STE A, CLARKSVILLE, TN 37042-2750
(440) 523-1750
Mailing address
333 KLINE CT UNIT B, FORT CAMPBELL, KY 42223-3830
(440) 523-1750
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
68
TN
Other
Enumeration date
08/11/2023
Last updated
09/07/2025
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