Davis, Tammy Lynn

Davis, Tammy Lynn is an individual health care provider with primary practice located at 764 Old Chattanooga Pike Sw , Cleveland TN 37311-8566. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Davis, Tammy Lynn can be contacted via phone (423) 472-5268.

Contact Information

Primary practice address
764 Old Chattanooga Pike Sw Cleveland TN 37311-8566
Phone: (423) 472-5268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Tennessee

Profile Details

NPI number 1710450564
LBN Legal business name Davis, Tammy Lynn
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2019
Last updated Jan 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710450564 NPPES
Tennessee MEDICAID 103K00000X
Tennessee Other LBA0000000393

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