Staub, Mary
Staub, Mary is an individual health care provider with primary practice located at 9038 Cross Park Dr Ste 105 , Knoxville TN 37923-4720. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Staub, Mary can be contacted via phone (865) 394-6612.Contact Information
Primary practice address
9038 Cross Park Dr Ste 105
Knoxville TN 37923-4720
Phone: (865) 394-6612
Fax: (865) 315-7014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 11520854 |
Profile Details
| NPI number | 1336593177 |
|---|---|
| LBN Legal business name | Staub, Mary |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2016 |
| Last updated | Aug 9th, 2019 - about 5 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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