Individual
KRISTIN BLAKE CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6312 KINGSTON PIKE STE B, KNOXVILLE, TN 37919-4958
(844) 854-1116
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-71430
TN
103K00000X
Behavior Analyst
Primary
1485
TN
106S00000X
Behavior Technician
RBT-21-160052
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-71430
BACB
TN
01
—
RBT-21-160052
BACB
TN
Enumeration date
03/08/2010
Last updated
04/09/2024
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