Provider Demographics
NPI:1821888314
Name:GRISHAM, ERIN MISHAEL (RBT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MISHAEL
Last Name:GRISHAM
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1880 OLD HIGHWAY 51 SOUTH
Mailing Address - Street 2:SUITE F
Mailing Address - City:BRIGHTON
Mailing Address - State:TN
Mailing Address - Zip Code:38011-3801
Mailing Address - Country:US
Mailing Address - Phone:901-290-3916
Mailing Address - Fax:901-290-3916
Practice Address - Street 1:1880 OLD HIGHWAY 51 SOUTH
Practice Address - Street 2:SUITE F
Practice Address - City:BRIGHTON
Practice Address - State:TN
Practice Address - Zip Code:38011
Practice Address - Country:US
Practice Address - Phone:901-290-3916
Practice Address - Fax:901-290-3916
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNRBT-25-409364106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician