Organization
ST. BASIL ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RETA MEDHAT FOUAD M.S BCBA (OWNER/BCBA)
(615) 720-5265
Entity
Organization
Contact information
Practice address
1067 CARLISLE PL, MOUNT JULIET, TN 37122-1033
(615) 720-5265
Mailing address
1067 CARLISLE PL, MOUNT JULIET, TN 37122-1033
(615) 720-5265
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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