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Individual

STEPHANIE BOUGRAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1691 NORTHPOINT BLVD, SUITE 160, HIXSON, TN 37343
(423) 498-9051
Mailing address
1691 NORTHPOINT BLVD, SUITE 160, HIXSON, TN 37343

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA002189
GA
106S00000X
Behavior Technician
TN

Other

Enumeration date
12/06/2022
Last updated
03/02/2026
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