Individual
JENOSHA TRYNAE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
109 ALLEN ST, JACKSON, TN 38301-7487
(731) 444-2985
Mailing address
109 ALLEN ST, JACKSON, TN 38301-7487
(731) 444-2985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB923993
TN
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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