Individual
ETHAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1508 OLD RINGGOLD RD, CHATTANOOGA, TN 37404-5444
(423) 266-6751
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
183700000X
Pharmacy Technician
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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