Individual
TENNILLE ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
175 MARKET PLACE DR STE A, LOUISVILLE, KY 40229-4471
(502) 251-7002
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25431
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-25431
BCBA-CERTIFICATE
—
Enumeration date
08/27/2015
Last updated
11/04/2025
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