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NPI Code Detail

MEDICARE: SANDRA SMITH GIVENS

MEDICARE: SANDRA SMITH GIVENS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1982404604
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA SMITH GIVENS
Provider Business Mailing Address
First Line : 2710 OLD LEBANON PIKE STE 25
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-2149
Country : US
Telephone Number : 615-549-6608
Fax Number :
Provider Business Practice Location Address
First Line : 2710 OLD LEBANON PIKE STE 25
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-2149
Country : US
Telephone Number : 615-549-6608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2025
Last Update Date : 03/13/2025

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Directions to “ SANDRA SMITH GIVENS ” Practice Location

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