Individual
KELSEY TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 N CEDAR BLUFF RD STE 305, KNOXVILLE, TN 37923-3648
(865) 888-5818
Mailing address
113 ROYAL HEIGHTS DR, KNOXVILLE, TN 37920-5053
(615) 545-1583
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2129
TN
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
02/20/2026
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