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Individual

MRS. HANNAH ELIZABETH SHEPPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S, BCBA, LBA

Contact information

Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 394-6612
(865) 315-7014
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 394-6612
(865) 315-7014

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000437
VA
103K00000X
Behavior Analyst
Primary
LBA489
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-11-8544
BACB
01
LBA489
ABA
TN
Enumeration date
08/10/2015
Last updated
07/25/2019
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