Individual
LAURA BALLARD-SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 CULLY RD, CORDOVA, TN 38018-8502
(901) 624-2454
Mailing address
1079 HOUSTON LEVEE ROAD, CORDOVA, TN 38018
(901) 826-7933
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
424
TN
Other
Enumeration date
12/04/2018
Last updated
05/14/2021
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