Individual
FAWN RIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2277 WILMA RUDOLPH BLVD., SUITE C #259, CLARKSVILLE, TN 37040
(931) 538-1460
Mailing address
2277 WILMA RUDOLPH BLVD., SUITE C #259, CLARKSVILLE, TN 37040
(931) 538-1460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33838
—
106S00000X
Behavior Technician
RBT-15-00657
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-15-00657
BACB
—
Enumeration date
02/21/2018
Last updated
01/30/2019
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