Individual
EMILIE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 983-1899
(865) 315-7014
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 983-1899
(865) 315-7014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA627
TN
106S00000X
Behavior Technician
RBT-17-33554
TN
Other
Enumeration date
01/15/2018
Last updated
06/18/2020
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