Individual
JADA DANIELLE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
107 ECHO HILLS DR, ROGERSVILLE, TN 37857-3156
(423) 456-1933
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(423) 456-1933
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1315927
TN
Other
Enumeration date
05/23/2025
Last updated
05/25/2025
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