Individual
DAVID VANDERGRIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
11121 KINGSTON PIKE STE F, FARRAGUT, TN 37934-2864
(865) 223-5479
Mailing address
410 W 1ST AVE, LENOIR CITY, TN 37771-2816
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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