Individual
KYLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA, LBA
Contact information
Practice address
2826 AMNICOLA HWY, CHATTANOOGA, TN 37406-3605
(423) 212-9637
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057744
—
TN
Enumeration date
12/06/2019
Last updated
06/29/2026
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