Organization
KNOXVILLE CENTER FOR AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA L GILBERT M.S. BCBA (PRESIDENT/DIRECTOR)
(865) 200-5127
Entity
Organization
Contact information
Practice address
9051 EXECUTIVE PARK DR, SUITE 200, KNOXVILLE, TN 37923-4606
(865) 200-5127
(865) 200-5127
Mailing address
9051 EXECUTIVE PARK DR, SUITE 200, KNOXVILLE, TN 37923-4606
(865) 200-5127
(865) 200-5127
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
5189
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5442213
—
TN
Enumeration date
01/14/2014
Last updated
01/14/2014
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