Most Relevant Information
Provider Data
| NPI Number: | 1003365503 |
| Provider Name: | WENDI Y MINUTOLO |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/25/2016 |
| Last Updated: | 08/15/2018 |
Provider Practice Location
403 PRINCETON RD STE 3
JOHNSON CITY
TN
37601
Practice Location Phone/Fax
| Phone: | 4232023622 |
| Fax: | 4236310019 |
Provider Mailing Location
403 PRINCETON RD STE 3
JOHNSON CITY
TN
376012040
Provider Mailing Phone/Fax
| Phone: | 4232023622 |
| Fax: | 4236310019 |