Qusayy M. Godbolt

NPI #1497303960 in Clarksville, Tennessee

Provider Information

NPI Number: 1497303960
Entity Type: Organization
Organization Name: Qusayy M. Godbolt
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 28, 2019
Last Updated: Aug 28, 2019

Practice Location

Address: 1207 SNOWBALL LN
City: Clarksville
State: Tennessee
ZIP Code: 37042-7855
Phone: (931) 378-4751

Authorized Official

Name: AMANDA WALKER
Title: ADMINISTRATOR
Phone: (817) 938-0823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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