Individual
LILLY CHARLOTTE JAMIESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6761 OLD DECATUR RD, FORT WORTH, TX 76179-4202
(817) 886-0088
Mailing address
7227 HOWARD BENNETT WAY, KNOXVILLE, TN 37931-1712
(425) 753-2204
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77625
TN
106S00000X
Behavior Technician
RBT-19-90333
WA
Other
Enumeration date
04/29/2019
Last updated
12/04/2024
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