| Neurobehavioral Associates | |
|
2 Worth Cir Ste 2 Johnson City TN 37601-4306 | |
| (423) 952-0992 | |
| (423) 952-0284 |
| Full Name | Neurobehavioral Associates |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2 Worth Cir Ste 2, Johnson City, Tennessee |
| Authorized Official Name and Position | Rodney A Sullivan (OWNER) |
| Authorized Official Contact | 4239520992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Associates 2 Worth Cir Ste 2 Johnson City TN 37601-4306 Ph: (423) 952-0992 | Neurobehavioral Associates 2 Worth Cir Ste 2 Johnson City TN 37601-4306 Ph: (423) 952-0992 |
| NPI Number | 1174727309 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 05/22/2008 |
| Medicare PECOS PAC ID | 8022197797 |
|---|---|
| Medicare Enrollment ID | O20080506000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174727309 | NPI | - | NPPES |
| 3980369 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 103GC0700X (Tennessee) | Primary |
| Provider Name | Robert B Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912922261 PECOS PAC ID: 7012096795 Enrollment ID: I20120208000769 |
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