Individual
MRS. BRANDI PAMELA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
2360 BOWSER RD, COOKEVILLE, TN 38506-5011
(931) 529-0251
Mailing address
1611 E MAGNOLIA AVE, KNOXVILLE, TN 37917-7825
(865) 595-0220
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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