Individual
ELISE DETRUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2603 WESTWOOD DR, NASHVILLE, TN 37204-2709
(615) 703-3531
Mailing address
200 CHAMBERLIN ST UNIT C, NASHVILLE, TN 37209-4850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1757
TN
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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