Provider Demographics
NPI:1104622885
Name:CALHOUN, HEATHER MICHELE (RBT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MICHELE
Last Name:CALHOUN
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 S ROAN ST LOT 11
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-7589
Mailing Address - Country:US
Mailing Address - Phone:423-617-6667
Mailing Address - Fax:
Practice Address - Street 1:2701 S ROAN ST LOT 11
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-7589
Practice Address - Country:US
Practice Address - Phone:423-617-6667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst