Individual
TONYANEKA C GRISSETT-GASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 ROSS CLARK CIR, DOTHAN, AL 36301-4925
(334) 699-4007
Mailing address
103 RESEDA LN, DOTHAN, AL 36305-7320
(251) 229-1072
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-363565
AL
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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