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Individual

TAYLOR OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Mailing address
11121 KINGSTON PIKE STE D, KNOXVILLE, TN 37934-2890

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48031
TN
106S00000X
Behavior Technician
RBT-20-145741
TN
156F00000X
Technician/Technologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-21-48031
BACB
TN
01
RBT-20-145741
BACB
TN
Enumeration date
02/13/2019
Last updated
07/19/2021
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