Individual
DAMONEI TIMMIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 HATCHER LN STE A, CLARKSVILLE, TN 37043-5921
(931) 346-0705
(866) 611-1558
Mailing address
1414 RAVEN RD, CLARKSVILLE, TN 37042-8195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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