NPI 1104649979

Myrasue Gail Mashburn

Practitioner Assistant Behavior Analyst Lawrenceburg, TN

Practice location

Address: 715 2nd St, Lawrenceburg, TN 38464-2905
Phone: (931) 279-2653

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1104649979
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2024
Record last updated: 31 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.