Individual
AMANDA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2719 SHELLMOUND RD, JASPER, TN 37347-5937
(423) 463-7236
Mailing address
2719 SHELLMOUND RD, JASPER, TN 37347-5937
(423) 463-7236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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