Individual
JOSHUA THOMAS BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, RBT
Contact information
Practice address
6761 STAGE RD, BARTLETT, TN 38134-3867
(901) 379-8827
Mailing address
6761 STAGE RD, BARTLETT, TN 38134-3867
(901) 379-8827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-73697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V178162003
DRIVERS LICENSE
MO
Enumeration date
02/25/2019
Last updated
02/25/2019
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