MEDICARE: MRS. KARI WHITE MMFT, 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1922240530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARI WHITE MMFT, BCBA

Provider Business Mailing Address
First Line	:	1017 NORCROSS DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-1211
Country	:	US
Telephone Number	:	615-294-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1017 NORCROSS DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-1211
Country	:	US
Telephone Number	:	615-294-5111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2009
Last Update Date	:	12/30/2010

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