Individual
STEPHANIE NICOLE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1536 GRATTON RD, CLARKSVILLE, TN 37043-6116
(931) 614-5271
Mailing address
2519 ELKMONT DR, CLARKSVILLE, TN 37040-2866
(712) 209-3213
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24739
—
103K00000X
Behavior Analyst
112
TN
103K00000X
Behavior Analyst
268969
KY
Other
Enumeration date
07/05/2016
Last updated
04/29/2022
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