Individual
DR. JASON THOMAS OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., BCBA-D
Contact information
Practice address
3203 BRICK CHURCH PIKE, SCARAB BEHAVIORAL HEALTH SERVICES, LLC, NASHVILLE, TN 37207
(615) 262-7822
Mailing address
3203 BRICK CHURCH PIKE, SCARAB BEHAVIORAL HEALTH SERVICES, LLC, NASHVILLE, TN 37207
(615) 262-7822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-01-0651
BOARD CERT BEH ANALYST
—
Enumeration date
06/07/2007
Last updated
09/28/2010
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