Organization
JOANNA FUSSELL, MA, BCBA, LBA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA FUSSELL (OWNER)
(901) 287-3024
Entity
Organization
Contact information
Practice address
6385 STAGE RD STE 1, BARTLETT, TN 38134-3730
(901) 287-3024
Mailing address
6385 STAGE RD STE 1, BARTLETT, TN 38134-3730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q062698
—
TN
Enumeration date
06/01/2021
Last updated
03/16/2022
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