Individual
JAIME LEA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
268 ROSCOE FITZ RD, GRAY, TN 37615-3440
(423) 262-3160
Mailing address
268 ROSCOE FITZ RD, GRAY, TN 37615-3440
(423) 262-3160
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1739
TN
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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