Individual
TESSA TALIA DIVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
555 MARRIOTT DR., STE 315, NASHVILLE, TN 37214-5088
(855) 910-6147
(931) 896-2737
Mailing address
7090 SAMUEL MORSE DR., ST. 100-300, COLUMBIA, MD 21046-3442
(855) 935-3691
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-16-17545
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-38668
BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)
—
01
—
RBT-16-17545
BACB
TN
Enumeration date
03/05/2018
Last updated
07/23/2026
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