Provider Demographics
NPI:1225206295
Name:JOSLIN, HEATHER DALLAS (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DALLAS
Last Name:JOSLIN
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1146
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-5920
Mailing Address - Country:US
Mailing Address - Phone:931-279-1107
Mailing Address - Fax:931-722-3285
Practice Address - Street 1:9344 BUTTERMILK RIDGE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-5920
Practice Address - Country:US
Practice Address - Phone:931-279-1107
Practice Address - Fax:931-722-3285
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist