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KNOXVILLE CENTER FOR AUTISM INC. NPI 1083036859


NPI Information

NPI: 1083036859
Provider Name: KNOXVILLE CENTER FOR AUTISM, INC.
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 44D0312421

Address:
9051 EXECUTIVE PARK DR
SUITE 200
KNOXVILLE, TN
ZIP 37923
Phone: (865) 200-5127
Get Directions

KNOXVILLE CENTER FOR AUTISM, INC. is a behavior analyst in Knoxville, TN. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. KNOXVILLE CENTER FOR AUTISM, INC. NPI is 1083036859. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9051 EXECUTIVE PARK DR
SUITE 200
KNOXVILLE, TN
ZIP 37923-606
Phone: (865) 200-5127
Fax: (865) 200-5127

The provider's authorized official is Sara L Gilbert .
The authorized official title is President/director and has the following contact phone number (865) 200-5127.

The CLIA number assigned to this NPI record is 44D0312421 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/14/2014 and was last updated on 1/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist5189TENNESSEENo
2103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15442213MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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