Individual
YAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 TRINITY CREEK CV, CORDOVA, TN 38018-2279
(901) 218-5527
(901) 371-8738
Mailing address
560 TRINITY CREEK CV, CORDOVA, TN 38018-2279
(901) 218-5527
(901) 371-8738
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2009
Last updated
09/30/2020
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