Organization
ADAPTIVE BEHAVIOR ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA EBBERT MS, BCBA, LBA (OWNER)
(423) 426-2307
Entity
Organization
Contact information
Practice address
248 CLEARWATER DR, KINGSPORT, TN 37664-5137
(423) 426-2307
Mailing address
248 CLEARWATER DR, KINGSPORT, TN 37664-5137
(423) 426-2307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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