Provider Demographics
NPI:1306609425
Name:BIGGS, WENDY LOUISE (RBT)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LOUISE
Last Name:BIGGS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4548 GLADDICE HWY
Mailing Address - Street 2:
Mailing Address - City:GAINESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:38562-5324
Mailing Address - Country:US
Mailing Address - Phone:931-704-2258
Mailing Address - Fax:
Practice Address - Street 1:1611 E MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-7825
Practice Address - Country:US
Practice Address - Phone:865-595-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRBT-24-320180106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician