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NPI Code Detail

MEDICARE: BRONTE LAVAY

MEDICARE:   BRONTE  LAVAY
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 Analyst1483TN

General Provider Information

NPI Number : 1659131183
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRONTE LAVAY
Provider Business Mailing Address
First Line : 9005 OVERLOOK BLVD STE 637
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5269
Country : US
Telephone Number : 615-733-4651
Fax Number :
Provider Business Practice Location Address
First Line : 5209 LINBAR DR STE 625
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-1025
Country : US
Telephone Number : 615-733-4651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2024
Last Update Date : 03/21/2024

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Directions to “ BRONTE LAVAY ” Practice Location

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