Individual
TABITHA EBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
200 PROSPERITY DR, KNOXVILLE, TN 37923-4718
(855) 832-6727
(772) 675-9100
Mailing address
321 W WALNUT ST STE 2, JOHNSON CITY, TN 37604-6774
(423) 202-3622
(423) 631-0019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40003
TN
Other
Enumeration date
12/30/2019
Last updated
05/04/2021
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