| Joanna Fussell, Ma, Bcba, Lba, Llc | |
|
6385 Stage Rd Ste 1 Bartlett TN 38134-3730 | |
| (901) 287-3024 | |
| Not Available |
| Full Name | Joanna Fussell, Ma, Bcba, Lba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6385 Stage Rd Ste 1, Bartlett, Tennessee |
| Authorized Official Name and Position | Joanna Fussell (OWNER) |
| Authorized Official Contact | 9012873024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Fussell, Ma, Bcba, Lba, Llc 6385 Stage Rd Ste 1 Bartlett TN 38134-3730 Ph: () - | Joanna Fussell, Ma, Bcba, Lba, Llc 6385 Stage Rd Ste 1 Bartlett TN 38134-3730 Ph: (901) 287-3024 |
| NPI Number | 1659947695 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659947695 | NPI | - | NPPES |
| Q062698 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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