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NPI Code Detail

MEDICARE: JULIA CARRUTHERS-THORNE MS BCBA

MEDICARE: JULIA CARRUTHERS-THORNE MS BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-17-27240

General Provider Information

NPI Number : 1457866501
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA CARRUTHERS-THORNE MS BCBA
Provider Business Mailing Address
First Line : 3351 ASPEN GROVE DR
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3351 ASPEN GROVE DR
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2909
Country : US
Telephone Number : 615-721-5921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2017
Last Update Date : 12/12/2017

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