Individual
MIKAYLA BREANN GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 SIMPSON RD W, LENOIR CITY, TN 37771-6685
(865) 441-8078
Mailing address
225 KELLY LN APT 6H, LENOIR CITY, TN 37771-2061
(865) 441-8078
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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