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Individual

MS. ELIZABETH ANN GINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW, BCBA

Contact information

Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 394-6612
(865) 315-7014
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 394-6612
(865) 315-7014

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-14-10123
BACB
TN
01
LBA231
STATE OF TN
TN
05
Q008985
TN
Enumeration date
10/01/2014
Last updated
11/06/2020
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