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Contact Information

YVONNE M RANDOLPH, M.A.
8245 WESTPORT ROAD
WESTPORT, TN38387
 Phone: 731-614-2316
 Fax: 731-986-9138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for YVONNE M RANDOLPH · (Female)

NPI # 1629217930
Status Active
Credentials M.A.
Entity Individual
Enumeration date 02/10/2009
Last updated 02/10/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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