Provider Demographics
NPI:1992464994
Name:FREEMAN, MANDY LYNN (BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:MANDY
Middle Name:LYNN
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1046 GENERAL GEORGE PATTON RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2593
Mailing Address - Country:US
Mailing Address - Phone:615-972-1688
Mailing Address - Fax:
Practice Address - Street 1:1604 WESTGATE CIRCLE
Practice Address - Street 2:SUITE 240
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-239-5242
Practice Address - Fax:888-880-5719
Is Sole Proprietor?:No
Enumeration Date:2021-12-17
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst