Positive Vibes Aba, Llc | |
1657 E Stone Dr Ste B Kingsport TN 37660-4669 | |
(423) 375-9192 | |
Not Available |
Full Name | Positive Vibes Aba, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1657 E Stone Dr Ste B, Kingsport, Tennessee |
Authorized Official Name and Position | Melissa Cole (OWNER) |
Authorized Official Contact | 4233759192 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Positive Vibes Aba, Llc 1657 E Stone Dr Ste B #151 Kingsport TN 37660-4669 Ph: (423) 375-9192 | Positive Vibes Aba, Llc 1657 E Stone Dr Ste B Kingsport TN 37660-4669 Ph: (423) 375-9192 |
NPI Number | 1477027605 |
---|---|
Provider Enumeration Date | 01/22/2019 |
Last Update Date | 01/22/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477027605 | NPI | - | NPPES |
Q045695 | Medicaid | TN | |
Q034863 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
News Archive
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