Healthcare Provider Details

I. General information

NPI: 1619895125
Provider Name (Legal Business Name): EMILIE FLOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 LINDSAY ST STE 103
CHATTANOOGA TN
37403-3457
US

IV. Provider business mailing address

153 BLETCHLEY PARK DR
FRIENDSVILLE TN
37737-2948
US

V. Phone/Fax

Practice location:
  • Phone: 865-336-6722
  • Fax:
Mailing address:
  • Phone: 865-336-6722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: