Individual
LEANNE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 ROCKWELL DR, COOKEVILLE, TN 38506-4986
(931) 319-2782
Mailing address
612 ROCKWELL DR, COOKEVILLE, TN 38506-4986
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
636
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
636
BEHAVIOR ANALYST LICENSURE COMMITTEE
TN
Enumeration date
07/10/2020
Last updated
07/10/2020
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