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Individual

ANDREA BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, BCBA, LBA

Contact information

Practice address
4055 N PARK LOOP, MEMPHIS, TN 38152-6362
(901) 275-0408
Mailing address
7911 CAROL ELAINE CIR, BARTLETT, TN 38133-2019
(901) 275-0408

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1358
TN

Other

Enumeration date
09/20/2023
Last updated
01/28/2025
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