Organization
GUIDED PATHS BEHAVIOR AND SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GRIFFIN (OWNER)
(423) 488-5057
Entity
Organization
Contact information
Practice address
11013 TRIMBLE BLVD UNIT A, FORT CAMPBELL, KY 42223-6044
(423) 488-5057
Mailing address
11013 TRIMBLE BLVD UNIT A, FORT CAMPBELL, KY 42223-6044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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