Organization
APPLIED BEHAVIORAL DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACH SHOEMAKER MS, BCBA (OWNER)
(901) 338-7463
Entity
Organization
Contact information
Practice address
155 CAMERON DR, OAKLAND, TN 38060-3373
(901) 338-7463
(901) 465-9062
Mailing address
155 CAMERON DR, OAKLAND, TN 38060-3373
(901) 338-7463
(901) 465-9062
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-09-5345
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517027
—
TN
Enumeration date
11/17/2010
Last updated
11/17/2010
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