Organization
TRANSFORMATIONS AUTISM TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY PALM MS, BCBA (EXECUTIVE DIRECTOR)
(901) 231-1931
Entity
Organization
Contact information
Practice address
2445 CARROLLWOOD LN, CORDOVA, TN 38016-4623
(901) 231-1931
(901) 592-0131
Mailing address
2445 CARROLLWOOD LN, CORDOVA, TN 38016-4623
(901) 231-1931
(901) 592-0131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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