Individual
PEARLY PILOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DUNBAR CAVE RD, CLARKSVILLE, TN 37043-8849
(931) 542-2739
Mailing address
211 OAK ST, CLARKSVILLE, TN 37042-6553
(281) 975-7182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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