Mainstream Autism Services
Behavior Analyst in Goodlettsville, TN. Organization (NPI-2).
NPI number1437800331
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1437800331
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainstream Autism Services
- Organization subpart
- No
- Enumeration date
- Jan 12, 2022
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
103 S High Ridge DrGoodlettsville, TN 37072-7085
Phone 615-939-8049
Mailing address
103 S High Ridge DrGoodlettsville, TN 37072-7085
Phone 615-939-8049
Authorized official
Joseph Banua
Owner/Ceo
6159398049
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