Organization
TENNESSEE BEHAVIORAL THERAPY MANCHESTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI DAVIS (BCBA/OWNER)
(423) 902-6598
Entity
Organization
Contact information
Practice address
811 HILLSBORO BLVD, MANCHESTER, TN 37355-2023
(423) 902-6598
Mailing address
20 COURTHOUSE SQ, JASPER, TN 37347-3530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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