Organization
APPLIED BEHAVIORAL INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN GIBBONS M.ED., LBA, BCBA (PESIDENT)
(810) 223-3946
Entity
Organization
Contact information
Practice address
2670 COOKS RD, MOUNT JULIET, TN 37122-5705
(810) 223-3946
(615) 413-5158
Mailing address
11205 LEBANON RD UNIT 286, MOUNT JULIET, TN 37122-5545
(810) 223-3946
(615) 413-5158
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TN
Other
Enumeration date
10/01/2015
Last updated
10/25/2024
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