| Abc Behavior Therapy Llc | |
|
1727 N Germantown Pkwy Ste 107 Cordova TN 38016-3328 | |
| (901) 315-7628 | |
| Not Available |
| Full Name | Abc Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1727 N Germantown Pkwy Ste 107, Cordova, Tennessee |
| Authorized Official Name and Position | Reanne Heniece Woods (DIRECTOR/OWNER) |
| Authorized Official Contact | 9013157628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Behavior Therapy Llc 1727 N Germantown Pkwy Ste 107 Cordova TN 38016-3328 Ph: (901) 315-7628 | Abc Behavior Therapy Llc 1727 N Germantown Pkwy Ste 107 Cordova TN 38016-3328 Ph: (901) 315-7628 |
| NPI Number | 1265908552 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265908552 | NPI | - | NPPES |
| 1740796929 | Medicaid | TN | |
| Q035787 | Medicaid | TN | |
| 1265908552 | Medicaid | TN | |
| Q057100 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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