Individual
ADA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 BAILEY AVE, CHATTANOOGA, TN 37404-2904
(423) 531-2894
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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