Individual
ARIEANA GABRIELLE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11225 FARRAGUT POINTE WAY APT 202, KNOXVILLE, TN 37934-4950
(865) 549-0171
Mailing address
712 W MEADECREST DR, KNOXVILLE, TN 37923-2487
(865) 549-0171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-281808
TN
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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