Individual
CHRISTOPHER RYAN QUALKINBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
247 W MAIN ST STE F, HENDERSONVILLE, TN 37075-3327
(615) 314-3292
Mailing address
247 W MAIN ST STE F, HENDERSONVILLE, TN 37075-3327
(615) 314-3292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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