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1326880170
DESTINY FIELDHOUSE
KNOXVILLE, TN
NPI
1326880170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TN RBT-24-325052)
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
DESTINY FIELDHOUSE RBT
11121 KINGSTON PIKE STE F
KNOXVILLE, TN 37934-2864
Phone number: 865-328-0841
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Mailing Address
DESTINY FIELDHOUSE RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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