Organization
TENNESSEE BEHAVIORAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI DAVIS (BCBA)
(423) 805-9888
Entity
Organization
Contact information
Practice address
7446 SHALLOWFORD RD, 116, CHATTANOOGA, TN 37421-8815
(423) 805-9888
(423) 805-9889
Mailing address
7446 SHALLOWFORD RD, 116, CHATTANOOGA, TN 37421-8815
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524189
—
TN
Enumeration date
10/30/2014
Last updated
10/30/2014
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