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Individual

ARIEANA GABRIELLE CANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9807 BRISTOL SQUARE LN APT 302, BETHESDA, MD 20814-5464
(865) 549-0171
Mailing address
712 W MEADECREST DR, KNOXVILLE, TN 37923-2487
(865) 549-0171

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000694
VA
106S00000X
Behavior Technician
Primary
RBT-23-281808
TN

Other

Enumeration date
10/11/2024
Last updated
06/12/2026
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