Individual
DR. TAMARA BILBO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., BCBA
Contact information
Practice address
352 OLD PARKSVILLE TRL SE, CLEVELAND, TN 37323-8706
(423) 961-3785
(423) 614-8190
Mailing address
352 OLD PARKSVILLE TRL SE, CLEVELAND, TN 37323-8706
(423) 961-3785
(423) 614-8190
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4396
FL
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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