Individual
MICK NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.S., BCBA
Contact information
Practice address
3203 BRICK CHURCH PIKE, NASHVILLE, TN 37207-2800
(615) 262-7822
Mailing address
3203 BRICK CHURCH PIKE, NASHVILLE, TN 37207-2800
(615) 262-7822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-1029
MD
Other
Enumeration date
11/23/2009
Last updated
05/25/2011
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