Individual
SHERRY DENISE CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
145 BETHEL COURT, BETHEL AUTISM INSTITUTE, MCKENZIE, TN 38201
(731) 514-6601
(731) 881-7933
Mailing address
PO BOX 105, GLEASON, TN 38229-0105
(731) 514-6601
(731) 881-7933
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3348
TN
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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