| Bolton Behavioral Consulting, Inc. | |
|
1245 Lighthouse Pl Brentwood TN 37027-8353 | |
| (615) 479-1713 | |
| (615) 356-1843 |
| Full Name | Bolton Behavioral Consulting, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1245 Lighthouse Pl, Brentwood, Tennessee |
| Authorized Official Name and Position | Tracey Bolton (PRESIDENT) |
| Authorized Official Contact | 6154791713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bolton Behavioral Consulting, Inc. 1245 Lighthouse Pl Brentwood TN 37027-8353 Ph: (615) 479-1713 | Bolton Behavioral Consulting, Inc. 1245 Lighthouse Pl Brentwood TN 37027-8353 Ph: (615) 479-1713 |
| NPI Number | 1982934352 |
|---|---|
| Provider Enumeration Date | 01/07/2010 |
| Last Update Date | 01/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982934352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1084137 (Tennessee) | Primary |
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