Individual
MADELINE DETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CHURCH ST STE 2000, NASHVILLE, TN 37219-3304
(949) 315-5173
Mailing address
5129 BRIDGEMORE BLVD, MURFREESBORO, TN 37129-1414
(949) 315-5173
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1550184
TN
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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