Individual
SOPHIA ANN FORYSTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
624 GRASSMERE PARK STE 11, NASHVILLE, TN 37211-3671
(615) 326-6578
Mailing address
3021 LILYBELLE CT, ARRINGTON, TN 37014-2003
(248) 895-9722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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