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Individual

MS. JOANNA H FUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
6385 STAGE RD STE 1, BARTLETT, TN 38134-3730
(901) 287-3024
Mailing address
6385 STAGE RD STE 1, BARTLETT, TN 38134-3730
(901) 287-3024

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
08/15/2018
Last updated
03/16/2022
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