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Individual

SAMUEL SCOTT GERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, BCBA

Contact information

Practice address
1119 OLD HUMBOLDT RD, JACKSON, TN 38305-1752
(731) 336-2803
Mailing address
51 FRIARS POINT RD APT E, JACKSON, TN 38305-5340
(731) 336-2803

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/29/2024
Last updated
05/29/2024
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