Individual
STEPHANIE MCILVANIE-GRIJALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1064 CINDY JO CT, CLARKSVILLE, TN 37040-2582
(931) 292-2601
Mailing address
1064 CINDY JO CT, CLARKSVILLE, TN 37040-2582
(931) 292-2601
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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