Individual
MIKAYLA WESTGERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6004 WALDEN DR, KNOXVILLE, TN 37919-6370
(865) 766-5775
Mailing address
6004 WALDEN DR, KNOXVILLE, TN 37919-6370
(865) 766-5775
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25001732
LEARNING AND BEHAVIOR CENTER OF KNOXVILLE
TN
Enumeration date
07/07/2021
Last updated
07/07/2021
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