Individual
REBECCA JO BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, BCBA
Contact information
Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 394-6612
(865) 315-7014
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 394-6612
(865) 315-7014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43665
TN
106S00000X
Behavior Technician
RBT-16-26967
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-436665
BACB
TN
01
—
LBA664
STATE OF TN
TN
01
—
RBT-16-26967
BACB
TN
Enumeration date
06/13/2019
Last updated
09/30/2020
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