Mark Thaxton
Mark Thaxton is a Behavior Technician in Clarksville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.
- Licensed in
- TN
- In the registry since
- 2021
Practice location Address checks out
2011 Fort Campbell Blvd Unit 2312Clarksville, TN 37042-2239
Phone: (615) 519-7799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-18-51275 (TN) |
|---|
Record details
| NPI number | 1659047652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 19, 2021 |
| Last updated in NPPES | August 19, 2021 |
| Certification date | July 28, 2021 |
| Mailing address | 2011 Fort Campbell Blvd Unit 2312, Clarksville, TN 37042-2239 |
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