Organization
BOLTON BEHAVIORAL CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY BOLTON (PRESIDENT)
(615) 479-1713
Entity
Organization
Contact information
Practice address
1245 LIGHTHOUSE PL, BRENTWOOD, TN 37027-8353
(615) 479-1713
(615) 356-1843
Mailing address
1245 LIGHTHOUSE PL, BRENTWOOD, TN 37027-8353
(615) 479-1713
(615) 356-1843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084137
TN
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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