Olds, Matthew William
Olds, Matthew William is an individual health care provider with primary practice located at 9038 Cross Park Dr Ste 105 , Knoxville TN 37923-4729. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Olds, Matthew William can be contacted via phone (865) 394-6612.Contact Information
Primary practice address
9038 Cross Park Dr Ste 105
Knoxville TN 37923-4729
Phone: (865) 394-6612
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-19-80383 | Tennessee |
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | LABA35 | Tennessee |
Profile Details
NPI number | 1740893189 |
---|---|
LBN Legal business name | Olds, Matthew William |
Credentials | RBT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2020 |
Last updated | Sep 1st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740893189 | NPPES |
Tennessee | Other | 0-22-13801 | BACB |
Tennessee | Other | RBT-19-80383 | BACB |
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