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BRENDA GUADALUPE PITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1236 CHERRYDALE CV, MEMPHIS, TN 38111-8104
(901) 830-1363
Mailing address
1209 DOGWOOD DR, MEMPHIS, TN 38111-7313
(901) 618-9277

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-94135
TN

Other

Enumeration date
09/02/2020
Last updated
09/02/2020
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