Individual
CAMERON MICHAEL CARVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4917 FLEETWOOD DR, KNOXVILLE, TN 37921-5306
(865) 438-8033
Mailing address
4917 FLEETWOOD DR, KNOXVILLE, TN 37921-5306
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-285103
TN
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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