Individual
BRANDI GOFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1726 FORRESTER RD, KNOXVILLE, TN 37918-8933
(317) 525-4084
Mailing address
1726 FORRESTER RD, KNOXVILLE, TN 37918-8933
(317) 525-4084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA742
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-46965
BACB
TN
Enumeration date
03/10/2021
Last updated
04/10/2023
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