NPI 1134398480

Andre L Anderson, BCBA

Practitioner Contractor Antioch, TN

Practice location

Address: 4316 Summercrest Blvd APT 514, Antioch, TN 37013-5804
Phone: (615) 293-1864
Mailing address: PO Box 1361, Antioch, TN 37011-1361

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 1-04-1884 (TN)

Other Contractor providers in Tennessee →

Registry record

NPI: 1134398480
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2008
Record last updated: 20 Feb 2008

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.