Individual
MS. JOJUAN FULLWILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3834 GINKGO LN, MEMPHIS, TN 38125-6538
(901) 336-4225
(901) 910-3399
Mailing address
3834 GINKGO LN APT 206, MEMPHIS, TN 38125-6538
(901) 336-4225
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33518
TN
Other
Enumeration date
10/27/2017
Last updated
07/11/2023
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