Leslie Kidd

Behavior Analyst · Knoxville, TN

Individual Active NPI

NPI number 1104582212

Practice location

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4729
Phone
(865) 394-6612
Fax
(865) 315-7014

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NPI record

NPI
1104582212
Entity type
Individual (Type 1)
Enumeration date
November 12, 2021
Last updated
March 1, 2022
Certified
March 1, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-22-58298 TN
Behavior Technician 106S00000X RBT-15-04531 TN

About Leslie Kidd

Leslie Kidd is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729. The NPI number 1104582212 was assigned on November 12, 2021 and the record was last updated on March 1, 2022.

Leslie Kidd lists 2 licenses in the registry: #1-22-58298 (TN) for Behavior Analyst; #RBT-15-04531 (TN) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Leslie Kidd?

The NPI number is 1104582212.

What is the phone number of Leslie Kidd?

The phone number listed for the practice location is (865) 394-6612.

Where is Leslie Kidd located?

9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729.

What is the taxonomy code for Leslie Kidd?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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