Individual
ANA GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8081 KINGSTON PIKE, KNOXVILLE, TN 37919-5588
(615) 733-4651
Mailing address
1559 JANMAR RD, SNELLVILLE, GA 30078-5606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1477
TN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/28/2021
Last updated
04/10/2024
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