| Positive Impact Behavioral Services | |
|
604 Walker Pkwy Atoka TN 38004-7598 | |
| (901) 604-3857 | |
| (877) 744-3449 |
| Full Name | Positive Impact Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 604 Walker Pkwy, Atoka, Tennessee |
| Authorized Official Name and Position | Elizabeth Caviness Griffith (OWNER) |
| Authorized Official Contact | 9016043857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Impact Behavioral Services 604 Walker Pkwy Atoka TN 38004-7598 Ph: (901) 604-3857 | Positive Impact Behavioral Services 604 Walker Pkwy Atoka TN 38004-7598 Ph: (901) 604-3857 |
| NPI Number | 1063883684 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063883684 | NPI | - | NPPES |
| Q000488 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Tennessee) | Primary |
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