Individual
JAMIE COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
851 PROFESSIONAL PARK DRIVE 851 PROFESIIONAL PARK DRIVE, CLARKSVILLE, TN 37040
(931) 542-2168
Mailing address
916 LUCAS LANE, CLARKSVILLE, TN 37040
(931) 378-4466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-70966
BACB
TN
Enumeration date
11/27/2018
Last updated
11/27/2018
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