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NEUROBEHAVIORAL ASSOCIATES

Clinical Neuropsychologist

Johnson City, Tennessee

Provider NPI: 1174727309

Organization Information:
Organization Name:  NEUROBEHAVIORAL ASSOCIATES
Organization is not Subpart
Authorized Official:  RODNEY A SULLIVAN  OWNER  423-9520992

Practice Location:
2 WORTH CIR STE 2  JOHNSON CITY, TN 37601 US
Tel: 423-952-0992  Fax: 423-952-0284

Business Mailing Address:
2 WORTH CIR STE 2  JOHNSON CITY, TN 37601 US
Tel: 423-952-0992  Fax: 423-952-0284

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TN103GC0700X

Other Provider Identifiers:

IssuerNumberStateType
3980369TN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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