Individual
MR. MATTHEW WILLIAM OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA35
TN
106S00000X
Behavior Technician
RBT-19-80383
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-22-13801
BACB
TN
01
—
RBT-19-80383
BACB
TN
Enumeration date
08/25/2020
Last updated
09/01/2022
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