Individual
ANTHONY LEE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
21 S PARK BLVD STE 21, GREENWOOD, IN 46143-8838
(317) 449-2104
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-71131
IN
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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