Individual
JAY TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 LYNNWOOD CIR, CLARKSVILLE, TN 37040-5053
(615) 487-6040
Mailing address
147 LYNNWOOD CIR, CLARKSVILLE, TN 37040-5053
(615) 487-6040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
096253559
TN
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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