MARK THAXTON

CLARKSVILLE, TN
NPI1659047652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: TN  RBT-18-51275)
Enumeration Date2021-08-19
Last Update Date2021-08-19
Business Address
MARK THAXTON
2011 FORT CAMPBELL BLVD UNIT 2312
CLARKSVILLE, TN 37042-2239
Phone number: 615-519-7799
Mailing Address
MARK THAXTON
2011 FORT CAMPBELL BLVD UNIT 2312
CLARKSVILLE, TN 37042-2239
Phone number: 615-519-7799
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