Individual
MS. JESSIE GRACE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6413 QUINCE RD, MEMPHIS, TN 38119-8219
(901) 690-5213
(901) 422-6303
Mailing address
6413 QUINCE RD, MEMPHIS, TN 38119-8219
(901) 690-5213
(901) 422-6303
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-230686
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-230686
BACB
TN
Enumeration date
09/05/2022
Last updated
09/05/2022
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