Individual
MADDISON G BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 HENSLEE DR, DICKSON, TN 37055-2076
(615) 652-1082
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 805-1511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1681
TN
Other
Enumeration date
10/18/2021
Last updated
12/12/2024
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