Individual
MR. DANIEL OKEMBA OKELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1951 CHARTRIDGE DR, CORDOVA, TN 38016-2385
(901) 606-6352
Mailing address
1951 CHARTRIDGE DR, CORDOVA, TN 38016-2385
(901) 606-6352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5770
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-09-5770
BACB
TN
Enumeration date
09/13/2010
Last updated
04/08/2011
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