Provider Demographics
NPI:1235899626
Name:TUBBS, MARION MYKIA (RBT)
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:MYKIA
Last Name:TUBBS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 BRANDIES CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-8423
Mailing Address - Country:US
Mailing Address - Phone:615-558-5744
Mailing Address - Fax:
Practice Address - Street 1:538 BRANDIES CIR STE 102
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-8423
Practice Address - Country:US
Practice Address - Phone:615-558-5744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician