Individual
KRISTIN DANIELLE SPROLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2020 MEADOWVIEW PKWY STE 110, KINGSPORT, TN 37660-7388
(423) 375-9192
(833) 379-4405
Mailing address
1657 E STONE DR STE B, KINGSPORT, TN 37660-4669
(423) 375-9192
(833) 379-4405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
792
TN
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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