MEDICARE: DR. CINDY FREER CONLEY BCBA, LBA

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	728	TN

General Provider Information

NPI Number	:	1598343501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CINDY FREER CONLEY BCBA, LBA

Provider Business Mailing Address
First Line	:	1013 SPRING CREEK DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-7492
Country	:	US
Telephone Number	:	615-651-9970
Fax Number	:

Provider Business Practice Location Address
First Line	:	1013 SPRING CREEK DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-7492
Country	:	US
Telephone Number	:	615-651-9970
Fax Number	:

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

Provider Enumeration Date	:	03/31/2021
Last Update Date	:	03/31/2021

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