| NPI | 1336683721 |
|---|---|
| Other Name | TIFFANY MRLA |
| Entity Type | Organization |
| Authorized Contact | TRAVIS KMITA Chief Financial Officer 615-294-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AR 1-14-1043) |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2024-03-05 |