Individual
JESSICA ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., BCBA, LBA
Contact information
Practice address
538 MORRIS DR, MURFREESBORO, TN 37130-1032
(815) 353-1884
Mailing address
1065 WATERMARK WAY, MT JULIET, TN 37122-3101
(708) 305-4288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28992
TN
Other
Enumeration date
01/06/2018
Last updated
02/01/2024
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