Individual
JADA KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4323 OLD MILL RD STE B, ANDERSON, SC 29621-1117
(864) 671-1466
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2665
(615) 696-6316
(615) 815-1946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-287320
SC
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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