44D0312421 CLIA NUMBER - KNOXVILLE PEDIATRIC ASSOCIATES

Laboratory Demographics

CLIA Number: 44D0312421

Facility Name: KNOXVILLE PEDIATRIC ASSOCIATES

Facility Address:
9017 CROSS PARK DRIVE STE 200
KNOXVILLE, TN
ZIP 37923
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Facility Phone Number: 865 690-1161

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1083036859

Taxonomy: 103K00000X - Behavior Analyst
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.

CLIA Record

Field Name	Field Value
CLIA Number	44D0312421
LAB Type	Physician Office
Facility Name	KNOXVILLE PEDIATRIC ASSOCIATES
Street	9017 CROSS PARK DRIVE STE 200
City	KNOXVILLE
State	TN
ZIP	37923
Phone	865 690-1161
CertificateType	2
CertificateEffectiveDate	5/12/2023
CertificateExpirationDate	5/11/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024