Individual
EMMA LEIGH TUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RBT
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
106S00000X
Behavior Technician
Primary
RBT-19-91809
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-91809
RBT CERTIFICATE
KY
Enumeration date
09/24/2019
Last updated
02/06/2020
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