Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-10-7249 | TN |
NPI | 1003194267 |
---|---|
Provider Name | Brianne Klibbe |
First Address | Nashville, TN 37211-6903 |
Second Address | Nashville, TN 37211-6903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2011 |
Last Update Date | 21/07/2011 |