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Individual

MS. JESSICA WOODRUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
400 ROYAL PKWY, NASHVILLE, TN 37214-3636
(201) 316-5945
Mailing address
509 SHAWA TRL, ANTIOCH, TN 37013-1837
(760) 814-0974

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-24-371341
TN
106E00000X
Assistant Behavior Analyst
Primary
BACB1159395
TN

Other

Enumeration date
05/19/2025
Last updated
05/19/2025
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