Individual
JESSICA WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
390 S LOWE AVE STE K, COOKEVILLE, TN 38501-4703
(888) 423-2559
Mailing address
390 S LOWE AVE STE K, COOKEVILLE, TN 38501-4703
(888) 423-2559
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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