Organization
INFINITE CHANGES ABA THERAPY & AUTISM SERVICES
Active
Other names
infinite Changes ABA Therapy & Autism Services
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICCA BROCK BCBA, LBA (BEHAVIOR ANALYST)
(901) 606-5038
Entity
Organization
Contact information
Practice address
5115 COVINGTON WAY STE 5, MEMPHIS, TN 38134-5619
(901) 606-5038
Mailing address
8481 REGAL BEND DR, OLIVE BRANCH, MS 38654-4416
(901) 606-5038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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