Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003402470 |
---|---|
Provider Name | Mrs. Anisa K Allad |
First Address | Nashville, TN 37207-5123 |
Second Address | Mt Juliet, TN 37122-6359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2020 |
Last Update Date | 18/12/2020 |