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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1740893189 NPPES
Tennessee Other 0-22-13801 BACB
Tennessee Other RBT-19-80383 BACB

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