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Individual

ALISHA NOEL MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S CF-SLP

Contact information

Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Mailing address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(865) 978-1031
(865) 686-5820

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-22-237177
TN
235Z00000X
Speech-Language Pathologist
Primary
1338560303
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-22-237177
BACB
TN
Enumeration date
12/07/2022
Last updated
07/22/2025
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