Individual
EMMANUEL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8930 CROSS PARK DR STE 1, KNOXVILLE, TN 37923-4713
(718) 215-5311
(718) 865-5165
Mailing address
814 EVOLVE WAY, KNOXVILLE, TN 37915-2383
(561) 609-8243
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24351478
TN
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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