Individual
ELLEN JACEY STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4731 TROUSDALE DR STE 10, NASHVILLE, TN 37220-1311
(615) 832-8955
Mailing address
9820 CENTRAL PIKE, MOUNT JULIET, TN 37122-6101
(615) 881-2087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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