Individual
JALEN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 LANDRUM PL, CLARKSVILLE, TN 37043-6329
(931) 553-1395
Mailing address
331 LANDRUM PL, CLARKSVILLE, TN 37043-6329
(931) 553-1395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2074
TN
106E00000X
Assistant Behavior Analyst
62
TN
106S00000X
Behavior Technician
—
TN
Other
Enumeration date
10/10/2022
Last updated
01/02/2026
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