Individual
BRENNA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 FUJI LN, CLARKSVILLE, TN 37040-8800
(931) 292-2601
Mailing address
9 JAMESTOWN PL, CLARKSVILLE, TN 37042-4014
(931) 986-3251
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-269671
TN
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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