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Kadasha Allen

Behavior Technician in Cordova, TN. Individual provider (NPI-1).

NPI number1306567680
StatusActive
Last updated in NPPESSep 6, 2022

Details

NPI
1306567680
Entity type
Individual (NPI-1)
Name
Kadasha Allen
Sex
Female
Sole proprietor
No
Enumeration date
Sep 6, 2022
Certification date
Sep 6, 2022
Last updated
Sep 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1727 N Germantown Pkwy Ste 107
Cordova, TN 38016-3328

Phone 901-509-8347

Mailing address

1727 N Germantown Pkwy Ste 107
Cordova, TN 38016-3328

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