Organization
SPECIALIZED BEHAVIOR SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE J HENRY BCBA, LBA (BEHAVIOR ANALYST)
(423) 902-8137
Entity
Organization
Contact information
Practice address
360 LOONEYS CREEK DR, WHITWELL, TN 37397
(423) 902-8137
Mailing address
360 LOONEYS CREEK DR, WHITWELL, TN 37397
(423) 902-8137
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0000000169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q034752
—
TN
Enumeration date
05/10/2018
Last updated
05/10/2018
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