Mainstream Autism Services | |
103 S High Ridge Dr Goodlettsville TN 37072-7085 | |
(615) 939-8049 | |
Not Available |
Full Name | Mainstream Autism Services |
---|---|
Speciality | Behavior Analyst |
Location | 103 S High Ridge Dr, Goodlettsville, Tennessee |
Authorized Official Name and Position | Joseph Banua (OWNER/CEO) |
Authorized Official Contact | 6159398049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mainstream Autism Services 103 S High Ridge Dr Goodlettsville TN 37072-7085 Ph: (615) 939-8049 | Mainstream Autism Services 103 S High Ridge Dr Goodlettsville TN 37072-7085 Ph: (615) 939-8049 |
NPI Number | 1437800331 |
---|---|
Provider Enumeration Date | 01/12/2022 |
Last Update Date | 01/12/2022 |
Certification Date | 01/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437800331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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