Midsouth Therapy Group
Behavior Analyst in Memphis, TN. Organization (NPI-2).
NPI number1164057279
StatusActive
Last updated in NPPESMar 9, 2020
Details
- NPI
- 1164057279
- Entity type
- Organization (NPI-2)
- Legal business name
- Midsouth Therapy Group
- Organization subpart
- No
- Enumeration date
- Mar 9, 2020
- Certification date
- Mar 9, 2020
- Last updated
- Mar 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
1236 Cherrydale CvMemphis, TN 38111-8104
Phone 479-461-7738
Mailing address
1236 Cherrydale CvMemphis, TN 38111-8104
Phone 479-461-7738
Authorized official
Rachel Joyner
Bcba
9018301363
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