Individual
BROOKE VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
108 40TH AVE N, NASHVILLE, TN 37209-4901
(314) 920-5531
Mailing address
108 40TH AVE N, NASHVILLE, TN 37209-4901
(314) 920-5531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-26789
BCBA NUMBER
—
Enumeration date
05/02/2013
Last updated
12/16/2019
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