Individual
MATT WORKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
804A KNOX AVE, NASHVILLE, TN 37204-2618
(615) 491-3543
Mailing address
804 A KNOX AVENUE, NASHVILLE, TN 37204
(615) 491-3543
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA0000174
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA0000174
DIVISION OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
TN
Enumeration date
11/16/2015
Last updated
09/10/2018
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