Individual
MS. SANDRA RENEE MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT CERTIFICATION
Contact information
Practice address
6004 WALDEN DR, KNOXVILLE, TN 37919-6337
(865) 766-5775
Mailing address
6004 WALDEN DR, KNOXVILLE, TN 37919-6337
(865) 766-5775
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-249390
TN
Other
Enumeration date
03/05/2019
Last updated
01/13/2023
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