Individual
JESSICA KATE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
916 HOLGATE CT, NASHVILLE, TN 37221-6630
(615) 335-7770
(615) 662-7170
Mailing address
2945 ELAM RD APT F104, MURFREESBORO, TN 37127-6168
(615) 605-9769
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-14459
TN
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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