Facts
- Status
- A
- Credential
- BCBA, LBA
- Type
- Individual
- Enumeration date
- 2017-07-28
- Last updated
- 2026-02-17
Licenses
- License TN
- 642
Location
- Practice location
- 1475 SIMPSON RD W STE 103
- City
- LENOIR CITY TN
- Postal code
- 377716685
- Phone
- 865-441-8078
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.