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Individual

MS. DAWN M STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, BCBA, LBA

Contact information

Practice address
214 S GREER ST, MEMPHIS, TN 38111-3434
(901) 849-6433
Mailing address
214 S GREER ST, MEMPHIS, TN 38111-3434
(901) 849-6433

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0000000078
TN
103TB0200X
Cognitive & Behavioral Psychologist
BCBA #: 1-07-3269
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1509523
TN
Enumeration date
11/13/2007
Last updated
06/04/2019
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