Lisa Michelle Gardner

NPI #1205631066 in La Vergne, Tennessee

Provider Information

NPI Number
1205631066
Entity Type
Individual
Name
Lisa Michelle Gardner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 17, 2025
Last Updated
Feb 17, 2025

Practice Location

Address
156 SULLIVAN TRL
ZIP Code
37086-3027
Phone
(618) 514-5687

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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