Individual
THERON KEITH UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
906
TN
Other
Enumeration date
06/14/2018
Last updated
10/31/2023
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