Organization
COMMON GROUND COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI SNOW-WITZEMAN BCBA (EXECUTIVE DIRECTOR)
(615) 431-3763
Entity
Organization
Contact information
Practice address
2309 SCOTT AVE, NASHVILLE, TN 37216-3119
(615) 431-3763
Mailing address
2309 SCOTT AVE, NASHVILLE, TN 37216-3119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11219240
TN
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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