Individual
JOEL SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 MOUNTAIN VIEW DR, WINCHESTER, TN 37398-1224
(615) 582-4754
(615) 751-6218
Mailing address
102 MOUNTAIN VIEW DR, WINCHESTER, TN 37398-1224
(615) 582-4754
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70514
FL
106E00000X
Assistant Behavior Analyst
0-23-14515
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112086800
—
FL
Enumeration date
10/26/2021
Last updated
05/31/2026
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