Individual
ERICA PERESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 RH ELLIS RD, DANDRIDGE, TN 37725-3458
(715) 360-0338
Mailing address
706 RH ELLIS RD, DANDRIDGE, TN 37725-3458
(715) 360-0338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1306770
TN
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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