Samuel Scott Gerrell, MS, BCBA
Behavior Analyst in Jackson, TN. Individual provider (NPI-1).
NPI number1710727482
StatusActive
Last updated in NPPESMay 29, 2024
Details
- NPI
- 1710727482
- Entity type
- Individual (NPI-1)
- Name
- Samuel Scott Gerrell
- Credential
- MS, BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2024
- Certification date
- May 29, 2024
- Last updated
- May 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1119 Old Humboldt RdJackson, TN 38305-1752
Phone 731-336-2803
Mailing address
51 Friars Point Rd Apt EJackson, TN 38305-5340
Phone 731-336-2803
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