Individual
DANIELLE MOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-03362
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-15-03362
BACB
IN
Enumeration date
02/17/2021
Last updated
02/17/2021
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