| Applied Behavior Breakthrough, LLC | |
|
5175 Elmore Rd Memphis TN 38134-5629 | |
| (901) 286-1487 | |
| Not Available |
| Full Name | Applied Behavior Breakthrough, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5175 Elmore Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Shayconna Miller (BEHAVIOR ANALYST) |
| Authorized Official Contact | 9012861487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Behavior Breakthrough, LLC 5175 Elmore Rd Memphis TN 38134-5629 Ph: (901) 286-1487 | Applied Behavior Breakthrough, LLC 5175 Elmore Rd Memphis TN 38134-5629 Ph: (901) 286-1487 |
| NPI Number | 1043065287 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043065287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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