Individual
TIA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(702) 981-8580
Mailing address
13050 CHAMPIONS PARK DR APT 508, HOUSTON, TX 77069-3241
(702) 981-8580
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
09/17/2024
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