Individual
GABRIEL GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 CLEARVIEW DR, SPRINGFIELD, IL 62704-6459
(423) 488-5057
Mailing address
1960 BATTS LN APT K, CLARKSVILLE, TN 37042-7215
(423) 488-5057
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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