Individual
KYLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA, LBA
Contact information
Practice address
1325 W MAIN ST STE 101, FRANKLIN, TN 37064-3786
(615) 787-8078
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
471
TN
Other
Enumeration date
12/06/2019
Last updated
05/16/2023
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