Individual
KEMISSA NATHANAELLE POLYNICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
401 S MOUNT JULIET RD STE 235, MOUNT JULIET, TN 37122-8473
(703) 564-1648
Mailing address
522 BRADBURN VILLAGE CIR, ANTIOCH, TN 37013-1986
(615) 810-1897
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1756
TN
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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