Individual
VONDA JAN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7119 BRISTOL MEADOW LN, MEMPHIS, TN 38125-4289
(901) 491-6653
Mailing address
210 S MCLEAN BLVD APT 3, MEMPHIS, TN 38104-6119
(901) 907-5544
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9426
TN
Other
Enumeration date
12/06/2015
Last updated
12/06/2015
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