Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Appalachian Pediatric Therapy, LLC

Organization Behavior Analyst · NPI 1104433630

Appalachian Pediatric Therapy, LLC is a Behavior Analyst in Kingsport, Tennessee. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5400 Fort Henry Dr Ste 12
Kingsport, TN 37663-5304
Phone: (423) 426-3304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1104433630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendi Minutolo — Co-Owner/Lba · (423) 426-3304
NPI enumeratedSeptember 29, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 23, 2020
Mailing address118 Patrick Henry Cir, Kingsport, TN 37663-3733

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