Clovella Grace Buttram

NPI #1164207130 in Dayton, Tennessee

Provider Information

NPI Number: 1164207130
Entity Type: Individual
Name: Clovella Grace Buttram
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 29, 2023
Last Updated: Aug 29, 2023

Practice Location

Address: 334 BRYAN DR
City: Dayton
State: Tennessee
ZIP Code: 37321-6264
Phone: (423) 647-2137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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