Individual
MARK DAVID WEHAUSEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6004 WALDEN DR, KNOXVILLE, TN 37919-6370
(865) 766-5775
Mailing address
6315 KINGSTON PIKE APT 510, KNOXVILLE, TN 37919-4930
(865) 356-0282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68644
NE
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/14/2021
Last updated
02/12/2024
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