Individual
GAGE FERREYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-370139
TN
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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