Formento, Natalie

Formento, Natalie is an individual health care provider with primary practice located at 854 N Mount Juliet Rd , Mount Juliet TN 37122-4430. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Formento, Natalie can be contacted via phone (615) 558-4082.

Contact Information

Primary practice address
854 N Mount Juliet Rd Mount Juliet TN 37122-4430
Phone: (615) 558-4082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1357 Tennessee

Profile Details

NPI number 1972386696
LBN Legal business name Formento, Natalie
Credentials MED, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2023
Last updated Mar 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972386696 NPPES
Tennessee MEDICAID Q088601

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