Individual
TAMMY LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
764 OLD CHATTANOOGA PIKE SW, CLEVELAND, TN 37311-8566
(423) 472-5268
Mailing address
150 KING ARTHUR CT NW, CLEVELAND, TN 37312-7106
(423) 303-9955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
TN
01
—
LBA0000000393
TENNESSEE DEPARTMENT OF HEALTH, DIVISION OF HEALTH RELATED BOARDS
TN
Enumeration date
01/04/2019
Last updated
01/04/2019
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