Provider Demographics
NPI:1942702097
Name:RIEDLINGER, ANNE M (BCABA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:RIEDLINGER
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 JUDGE TYLER DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-1423
Mailing Address - Country:US
Mailing Address - Phone:931-449-0063
Mailing Address - Fax:931-896-2737
Practice Address - Street 1:1253 JUDGE TYLER DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-1423
Practice Address - Country:US
Practice Address - Phone:931-449-0063
Practice Address - Fax:931-896-2737
Is Sole Proprietor?:No
Enumeration Date:2018-03-05
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
01-18-9261106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
01-18-9261OtherBEHAVIOR ANALYST CERTIFICATION BOARD (BACB)
TNRBT-17-34974OtherBACB