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Individual

JORDAN BROOKE RENFRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1710 GENERAL GEORGE PATTON DR STE 103, BRENTWOOD, TN 37027-2904
(615) 288-5669
Mailing address
1107A W MAIN ST, PORTLAND, TN 37148-4204
(615) 362-1084

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-23-309570
TN

Other

Enumeration date
05/25/2024
Last updated
05/25/2024
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