Organization
OPPORTUNITY KNOCKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY BRAVER M.A., BCBA, LBA (CEO)
(443) 962-0494
Entity
Organization
Contact information
Practice address
2121 AMANDA MEADOW CT, HERMITAGE, TN 37076-3735
(443) 962-0494
(443) 962-0494
Mailing address
2121 AMANDA MEADOW CT, HERMITAGE, TN 37076-3735
(443) 962-0494
(443) 962-0494
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
05/14/2025
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