Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1104167600 |
---|---|
Provider Name | Miss Gereen Rishelle Francis |
First Address | Nashville, TN 37217-2679 |
Second Address | Decatur, GA 30033-4635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2013 |
Last Update Date | 09/12/2019 |