Individual
JALEN MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 S JEFFERSON AVE, COOKEVILLE, TN 38501-4748
(844) 244-1818
Mailing address
187 BOSWELL CIR, SPARTA, TN 38583-5970
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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