Individual
JESSIKAH GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
960 MADDOX SIMPSON PKWY, LEBANON, TN 37090-0751
(615) 444-0597
Mailing address
960 MADDOX SIMPSON PKWY, LEBANON, TN 37090-0751
(615) 444-0597
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
08/03/2026
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