Organization
CREATIVE MINDS BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASOUL MOKHTARI MS, BCBA (BEHAVIOR ANALYST)
(615) 513-7183
Entity
Organization
Contact information
Practice address
4636 LEBANON PIKE # 167, HERMITAGE, TN 37076-1316
(615) 513-7183
(615) 777-3210
Mailing address
4636 LEBANON PIKE # 167, HERMITAGE, TN 37076-1316
(615) 513-7183
(615) 777-3210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3620
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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